Untitled_2722

Applicant IL
State: {Applicant State:2} Date of Application: 12/18/2019 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:
 0 months – 1 year (we rarely get dogs in this age group), 1 year – 3 years
Gender preferred:
 Male
Color preferred:
 Any color
Activity level:
 Couch Potato, Outgoing, Quiet, Playful, Energetic, Very Active

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?

 We lost our Pembroke Corgi “Chubby this year to degenerative myelopathy. We would like to rescue another Corgi to complete our family.

Why do you want a Pembroke?
 My son brought home a free Pembroke Corgi puppy from a lady he met while working at Starbucks. I never heard of this breed before. Chubby was loving and playful . He had 2 surgeries to remove a growth on his paw. We had to nurse that paw half of his life. He was so good he would just roll over and let us apply the medication and baby sock. We fenced in our large yard just for him to run and be safe from predators. His favorite activities were his daily walks around our private subdivision, chasing squirrels and cats that come over the fence. Chasing and retrieving balls of all sizes.

Activities planned with Pembroke:
 Daily walks, ball retrieval, car rides, rag pulling, play with my two grandsons and letting him just be a dog free to run around our fenced in back yard. Maybe we would consider adopting 2 Corgi’s. They love to herd.

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: 		I have dog and kid friendly manufactured floors so bathroom mistakes and spills are not an issue. If it was a bathroom issue, I would show the dog the mistake. Tell him no, and bring him outside. When he does his business outside he gets praise and a training treat. We raised our Corgi from a puppy and he was house trained very quickly. They are very intelligent dogs and respond to love, praise and treats. We will have the proper chew toys for that issue also.

Discipline:
 Praise and treats for a job well done.

Where would Pembroke spend the majority of the time:
 He would have the run of the house. We have a 2 story raised ranch. No basement. Our main living area is on the main level and the bedrooms and laundry room is upstairs.

Discipline:
 Praise and treats for a job well done.
Where would Pembroke spend the majority of the time: He would have the run of the house. We have a 2 story raised ranch. No basement. Our main living area is on the main level and the bedrooms and laundry room is upstairs.

House dog or outside dog?

 House dog

People at home during the day?
 Yes my husband is retired.

Where would dog eat?
 Downstairs with us in the kitchen.

Where would dog sleep:
 Wherever he wants. He would have a dog bed but we allowed our dogs on the furniture.

Play & exercise:
 My husband is home all day. In warm weather he is outside most of the day gardening, grooming the lawn swimming etc. We have a large fenced in yard. I also invented a tennis ball game that Chubby and I would play every night. Our dogs were always well taken care of and loved unconditionally.

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?
 6 or 8 foot Wood privacy fence on the sides of the yard.. The front and back is the same except I left every other board open so the dog can see.

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:

 90×100’ fenced in back yard with 2 locking gates. Detached garage with a concrete patio. 5ft inflatable pool in the summer. Fenced in garden and a swing set and covered sandbox for the grandkids.

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?
 Leonard and Bonnie

Willing to train children?
 Does not apply. Our children are adults but they both had their own dogs and they were taught how to live and care for all animals.

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?
 Does not apply

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}