Untitled_2364

Applicant IL
State: {Applicant State:2} Date of Application: 05/02/2019 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:
 3 years – 5 years, 5 years – 10 years, 10 years +
Gender preferred:
 Either a Male or a Female
Color preferred:
 Red & White
Activity level:
 Couch Potato, Outgoing, Quiet, Playful, Other (Please describe in the box below.)

Other preferences:

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?

 Our family: our son is 15 and daughter is 17.

Why do you want a Pembroke?
 We had a Lakeland terrier for years, so sweet, but our son got us interested in corgis because he loves their look. We have researched the breed online. They just make us happy to look at them, short legs and fluffy bodies.

Activities planned with Pembroke:
 We would walk for sure, plus I work in the yard a lot during warmer months. We would also just play inside. We love dogs and look forward to having a new family member. Plus our daughter will leave for college soon and we would welcome an addition to the house!

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: 		We’d try to retrain him/her to learn s new behavior

Discipline:
 Stern talking, try to redirect to the right behavior

Where would Pembroke spend the majority of the time:
 In the house

Discipline:
 Stern talking, try to redirect to the right behavior
Where would Pembroke spend the majority of the time: In the house

House dog or outside dog?

 House dog

People at home during the day?
 We are all gone typically for 6 or do hours each day. Summers are different of course, and I can often come home at noon to let the dog out. But generally, no one is home for 6+ hours each day.

Where would dog eat?
 We would likely have bowls just off the kitchen, where are all of the meal time activity would take place with our family. During the day, there would be food bowls at the lower level.

Where would dog sleep:
 Likely they would sleep In our sons room, or on the landing of our second floor, where there is plenty of room for a bed.

Play & exercise:
 We have a large backyard, and are often outside during the warmer months. We also enjoy walking, and would plan to walk the dog, but generally most of its activity would be in the backyard. We also like to play with our dogs, so would spend time inside playing and interacting.

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?
 We have had dogs in the past, and our fence is a wooden fence that is solid and dog proof.

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:

 We have a large, fenced in yard. It’s probably 75 feet long and 50 feet wide. We don’t have swimming pools or any other problems for having a dog. It is a full grassy yard.

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?
 Jim

Willing to train children?
 Yes

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?
 Yes

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}