Untitled_2396

Applicant IL
State: {Applicant State:2} Date of Application: 05/25/2019 Referred by: Other
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:
 Female
Color preferred:
 Any color
Activity level:
 Outgoing, Quiet, Playful

Other preferences:
 We have a new granddaughter coming in july , so we need a dog that can be good with children. We have two older grandkids ages 10 & 8.

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?

 The two of us as our pet dog. We are losing our beautiful old collie who is the second collie we have adopted.. the third collie we have owned. We have had dogs all our married lives of almost 38 years.

Why do you want a Pembroke?
 I am researching several breeds that could work for our family. Pembrokes are loyal, friendly, good with other dogs and kids.they love to spend time with their people and follow them around,. They are a small hearding dog. We have had two other collies beside, hyland, juneau died at age 10 and saydee lived to age 9. My dad had a lg. Adoted collie trained to be a theropy dog we knew till he died at age twelve and one half. We also owned a cocker spaniel and a springer spaniel both for over ten years.

Activities planned with Pembroke:
 We have a dog park right behind us to take her to. We would walk her on trails in woods, parks, greenbelts , aand neighborhoods to see other dogs.

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: 		Say "no", guide them through the correct behavior, and reinforce completion of the correct behavior

Discipline:
 We focus mainly on positive reinforcement of appropriate behavior, withholding reinforcement (e.g. ignoring, when possible) inappropriate behavior, and saying an assertive "no" when undesirable behavior occurs.

Where would Pembroke spend the majority of the time:
 In the house and around the neighborhood with walks, trails and a dog park.

Discipline:
 We focus mainly on positive reinforcement of appropriate behavior, withholding reinforcement (e.g. ignoring, when possible) inappropriate behavior, and saying an assertive "no" when undesirable behavior occurs.
Where would Pembroke spend the majority of the time: In the house and around the neighborhood with walks, trails and a dog park.

House dog or outside dog?

 House dog

People at home during the day?
 Yes

Where would dog eat?
 At home inside

Where would dog sleep:
 At home inside

Play & exercise:
 We love dog walking in the neighborhood, on trails and visits to dog parks. We walk multiple times every day except in the worst icy weather.

How will you exercise your dog?
 On leash

Fenced yard?

 No, I don’t have a fenced in yard.

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

Willing to use a crate?

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?
 No, the condo covenants do not prevent me from having a dog.

Breed/size restrictions?
 No

Description of yard:

 Our townhome yard is small. There is a dog park behind our backyard.

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?
 both James and Sue Ann

Willing to train children?
 We have an adult child. When our grandkids (7 & 10) visit, they love to interact with our dog.

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?

 Yes, all of our current pets are friendly toward dogs.

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}