Untitled_2608

Applicant IL
State: {Applicant State:2} Date of Application: 10/09/2019 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:
 Any age
Gender preferred:
 Either a Male or a Female
Color preferred:
 Any color
Activity level:
 Couch Potato, Outgoing, Quiet, Playful, Energetic, Very Active

Other preferences:
 We hope to bring our dog as many places as possible with us and would like our dog to be comfortable with both other dogs and small children.

Previous dog owner?
 No
 
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?

 This corgi would be for the two of us.

Why do you want a Pembroke?
 We want to adopt a PWC because we are both familiar with and have been primary caretakers for large dogs but want to adopt a smaller dog in order to more easily be able to take them places. We have heard that corgis are much like larger dogs, just shorter. We love our friend's corgis and would like one of our own. We have done research and are prepared to do training and provide mental stimulation for our dog and will look into agility training.

Activities planned with Pembroke:
 We will work on training to keep our dog mentally stimulated, and take it along with us for activities like hiking and camping, as well as regular walks around the neighborhood and visits to local dog parks.

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?

 No

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 would handle a mistake with firm correction and work on teaching an alternate behavior if necessary.

Discipline:
 A firm "no" and steering the dog toward an acceptable behavior.

Where would Pembroke spend the majority of the time:
 Our dog would spend most of its time at our home, but also in the homes of my parents, who are experienced dog owners.

Discipline:
 A firm "no" and steering the dog toward an acceptable behavior.
Where would Pembroke spend the majority of the time: Our dog would spend most of its time at our home, but also in the homes of my parents, who are experienced dog owners.

House dog or outside dog?

 House dog

People at home during the day?
 Both of us work so we are not home on weekdays from 7:30am to 4pm. However I work close enough to get home for a lunchtime potty break. My retired parents are also willing to help with puppy training and can help with potty breaks and/or dog-sitting as needed.

Where would dog eat?
 The dog would eat in our home.

Where would dog sleep:
 The dog would sleep in our house, either in our bed or its own bed.

Play & exercise:
 Our dog will get daily walks before and after we go to work, as well as daily training. We will take the dog on outings as we are able to.

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

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:
 Rent/lease 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?
 Yes, you may contact my landlord.

Lease allow dogs:
 Yes, my lease permits dogs.

Landlord permission:
 Yes, my landlord is fine with me owning a Pembroke

Restrictive covenants?
 Not applicable

Breed/size restrictions?
 No

Description of yard:

 We have a mid sized yard with no pool or other fixtures. Neighboring homes also have dogs within fenced yards. Our yard is not currently fenced but we are looking into fencing.

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?
 Hannah & David

Willing to train children?
 We do not currently have children, but in the event that we do we will pay special care to prepare our dog and supervise interactions.

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?
 Our dog will meet any pets we may add in the future before we commit to bringing them home to ensure that they are compatible.

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}