Untitled_2553

Applicant IL
State: {Applicant State:2} Date of Application: 08/27/2019 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:
 Red Headed Tri, Black Headed Tri, Sable & White
Activity level:
 Outgoing, Quiet, Playful

Other preferences:
 I am single and retired, so it will be just the 3 of us (me, corgi, cat) See above. I've had 3 corgis over the years and prefer them to other breeds. The cat lost his "sibling" corgi about 6 weeks ago and misses her as much as I do.

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?

 Me..

Why do you want a Pembroke?
 I've raised 2 corgi puppies (plus an airdale and blue healer) – I raise wonderful puppies. Corgis are the perfect dogs for me needs. Big dog in a small dog's body. Adapt well to a smaller house and a fenced yard, get along with the cat, love children. On, and on, and on.

Activities planned with Pembroke:
 Play, walking.

Aware that Pembrokes are busy, noisy dogs?
 Yes

Money for basic care?

 Yes

Money for unforeseen medical expenses?
 No

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: 		Gently, but firmly. I'm the boss in this house

Discipline:
 Positive reinforcement. If overall needs are addressed,, discipline comes naturally.

Where would Pembroke spend the majority of the time:
 With me. Uncaged.

Discipline:
 Positive reinforcement. If overall needs are addressed,, discipline comes naturally.
Where would Pembroke spend the majority of the time: With me. Uncaged.

House dog or outside dog?

 House dog

People at home during the day?
 Me – most of the day, gone about 5 hours per day some days, up to 9 on rare days.

Where would dog eat?
 Kitchen. The cat has a table for his food (out of reach of the corgi) and does not bother the dog's food.

Where would dog sleep:
 Family bed – me, corgi, cat.

Play & exercise:
 Daily. Dog park IFF appropriate and enjoyed. Back yard with balls. Neighborhood kids loved coming over to play with Bonnie (recently lost corgi), and she loved them.

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?
 The back yard is fenced (chain link) and set aside for the dog. Not pesticides or chemicals are used, the yard is kept clean daily.

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:

 Enclosed yard, no fixtures beyond a table and chairs. A shed for gardening storage. Locked gates to prevent children from opening gates and letting corgi out of 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?
 Celeste

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}