Untitled_2515

State: {Applicant State:2} Date of Application: 08/03/2019 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:

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?

My mom and I. We currently have a 2yr old Doodle named Grace.

Why do you want a Pembroke?
I love Corgos! I love their little feet, and their fluffy butts! Corgi's have always been my go to breed to adopt but they are hard to find. I have no experience but I have done research on them.

Activities planned with Pembroke:
The Corgi would be walked at least 4 times a day, They would have playmate in our current dog as well as us.

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:
A standard correction, and teaching the correct command, with clicker and treats.

Discipline:
A standard vocal correction.


Where would Pembroke spend the majority of the time:
The Pembroke would be crate trained, but also house trained. Our current spent can spend some free hours in a blocked part of the home. We also take her to doggy day care during the days we are at work.

Discipline:
A standard vocal correction.
Where would Pembroke spend the majority of the time: The Pembroke would be crate trained, but also house trained. Our current spent can spend some free hours in a blocked part of the home. We also take her to doggy day care during the days we are at work.

House dog or outside dog?

House dog

People at home during the day?
Depending on the day of the week yes.

Where would dog eat?
In our Kitchen

Where would dog sleep:
The Pembroke would sleep in my room or my moms.

Play & exercise:
We play with our current pet several times a day. She also entertains herself when she wants too. We walk our current pet at least four times a day, and the Pembroke would get the same.

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?
Not applicable

Breed/size restrictions?
No

Description of yard:

There is a front and side yard, and no swimming pools.

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?
Christina and Lisa

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?

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}