Untitled_2317

Applicant IL
State: {Applicant State:2} Date of Application: 03/31/2019 Referred by: Website
First name: {First Name:98} Last name: {Last Name:97} First name 2: {First Name 2:94} Last name 2: {Last Name 2:93}
Street: {Street Address:3}
City: {City:4} State: {State:5} Zip: {Zip:6}

Ages interested in:
 1 year – 3 years, 3 years – 5 years
Gender preferred:
 Either a Male or a Female
Color preferred:
 Any color
Activity level:
 Couch Potato, Outgoing, Quiet, Playful, Energetic

Other preferences:
 I would really like to have a Corgi to love and take care of. Thank you for your consideration.

Previous dog owner?
 Yes
 
Dog 1
 
Dog 1 name:
 {Dog Name (Most recent/ current first):24}
 
Dog description:
 {Description of Dog:25}
 
How long owned?
 {Length of time owned:26}
 
Where is this dog now?
 {Where is this dog now? (Explain if you no longer have the dog):37}
  Dog 2
 
Dog 2 name:
 {Dog Name (Most recent/ current first):30}
 
Dog description:
 {Description of Dog:33}
 
How long owned?
 {Length of time owned:35}
 
Where is the dog now?
 {Where is this dog now? (Explain if you no longer have the dog):39}
  Dog 3
 
Dog 3 name:
 {Dog Name (Most recent/ current first):29}
 
Dog description:
 {Description of Dog:32}
 
How long owned?
 {Length of time owned:36}
 
Where is dog now?
 {Where is this dog now? (Explain if you no longer have the dog):27}
  Dog 4
 
Dog 4 name:
 {Dog Name (Most recent/ current first):28}
 
Dog description:
 {Description of Dog:31}
 
How long owned?
 {Length of time owned:34}
Where is this dog now? {Where is this dog now? (Explain if you no longer have the dog):38}

Who is this dog for?

 Myself. I live in a two adult household, and our dog would have people around almost 24/7.

Why do you want a Pembroke?
 I have done research, and I know that Pembroke Welsh Corgis are very smart and affectionate, which is what I would like. I have had a dog as a companion most of my life, but haven't had one in the last two years, since my beloved American Bulldog passe away. I'm really ready to shower love on a new canine family member.

Activities planned with Pembroke:
 My plan is to spend a lot of time playing with my dog, and also going on long walks. In addition, I would spend time training my new dog friend with obedience classes, and as needed.

Aware that Pembrokes are busy, noisy dogs?
 Yes

Money for basic care?

 Yes

Money for unforeseen medical expenses?
 Yes

Willing to house train?
 Yes
Willing to do formal training? Yes

Do you have a veterinarian?

 Yes

Vet contact info:
 {If yes, please provide contact information including the vet’s name, clinic name, street address, city, state, zip, and phone. Also include the website if there is one.:52}

Will handle mistakes Pembroke makes like this: 		It is my nature to deal with my canine family the same way I would with one of my children … with love and patience. Having my dog love and trust me is of the utmost importance.

Discipline:
 I am a believer in using positive discipline with my dog family. That would include time-outs, taking toys away, and avoiding giving positive attention when they misbehave.

Of course I believe showering them with lots of love and positive attention to reinforce good behavior is a must.

Where would Pembroke spend the majority of the time:
 Roaming about the house and fenced-in yard would be how my Pembroke would spend their time.

Discipline:
 I am a believer in using positive discipline with my dog family. That would include time-outs, taking toys away, and avoiding giving positive attention when they misbehave.

Of course I believe showering them with lots of love and positive attention to reinforce good behavior is a must.
Where would Pembroke spend the majority of the time: Roaming about the house and fenced-in yard would be how my Pembroke would spend their time.

House dog or outside dog?

 House dog

People at home during the day?
 Yes, my adult brother is here during the day, and I am in the house during the evening.

Where would dog eat?
 My Corgi would eat in the kitchen of my home.

Where would dog sleep:
 My Corgi would sleep in my bedroom, in either a dog bed or on my bed.

Play & exercise:
 My Corgi will have the opportunity to play in the yard for several hours a day if the dog wishes, and when the weather is favorable.

How will you exercise your dog?
 Both on leash and restrained to the yard

Fenced yard?

 Yes, I have a fenced in yard.

Willing to pick up dog waste?
 Yes, I will clean up after my dog.

Willing to use a crate?
 My backyard is completely fenced with a chain link fence.

Living arrangements:
 Own home

Landlord info:
 {If you rent/lease your home, please list the name, telephone number and email address of your landlord. State “Not Applicable” if you own your own home.:67}

May we contact your landlord?

Lease allow dogs:

Landlord permission:

Restrictive covenants?
 Not applicable

Breed/size restrictions?
 No

Description of yard:

 I have a backyard which is fenced-in by chain link fencing. No swimming pool or other impediments are present.

Household members:
 {Describe all the people who live in your home, include names, ages and interests. For example, Mary Smith, 29, Enjoys cooking, dog training, gardening and running.:75}

Everyone in household agrees about adopting a corgi?
 Yes, everyone agrees and wants to adopt a Pembroke Welsh Corgi.

May we do a home visit?

 Yes, I will allow LPWCR representatives to inspect my home prior to allowing me to adopt a Pembroke.

Who will be responsible for the adopted corgi’s care?
 Jann Deane

Willing to train children?
 I don't have any children in my home, but I am absolutely willing to teach and nurture my grandchildren in how to humanely care for animals.

All of my five grandchildren have a natural love for animals, and have pets of their own.

Any allergies?

 No one is allergic.

Current pets:

{Please list and describe all of the pets that currently live in your home, including the name, type, age, sex and whether it is neutered. For example, Lenny, komodo dragon, 3 years old, not neutered.:80}

Current pets dog friendly?

Are you willing to work on it if your new dog doesn’t get along with your current pets right away?
 I have no current pets.

Lifetime commitment to Pembroke?

 Yes, I am willing to commit to this dog for the rest of its life.

Return to Lakeshore if unable to care for Pembroke?
 Yes, I will only surrender my adopted corgi to LPWCR if I am unable to care for it.

Understand no guarantees?

 Yes, I understand that there are no guarantees regarding the condition, health, behavior or personality of the Pembroke I adopt.

Carefully considered the pluses and minuses of adopting a pet?
 Yes, I have carefully thought out my decision to adopt a Pembroke and am willing to deal with the consequences.

Personal references:
 {Personal References. Please list two people who know your family well, but who are not related to you (No moms, grandmas, sisters, etc) who will attest to the fact that you are a responsible, dedicated pet owner. Include the name of the person, their phone number(s), email and relationship you have with that person. For example, Mary Smith, 123-343-4444, 123-333-5767, marys@gmail.com, friend.:87}