Untitled_2756

Applicant IL
State: {Applicant State:2} Date of Application: 01/05/2020 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:
 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?

 Our family – Susan, Jason, William (12), Dylan (21) and Grace (19)

Why do you want a Pembroke?
 We like that corgis are smart and loyal dogs that know how to communicate with their owners. Our current dog “talks” to us, and we love it. . We. We also like the size of the breed. And, of course, they are adorable! We have done so considerable research on the breed before deciding it is a good dog to welcome into our home.

Activities planned with Pembroke:
 We would take him or her on walks, okay in our backyard, go to the local park where we like to play catch and frisbee with our current dog. We also like to take our dog to the beach and on walks with our friends’ dogs. We like to take our dog on car rides. Whatever we are doing, if it is dog friendly, our dog is welcome.

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: 		Hard to say without knowing the specific mistake, but I would lead the dog over to the mistake (such as a house training mistake or a chewed shoe), show them dog the mistake and say “no” then show it a corrective measure, such as going outside or giving the dog a toy if it’s own.

Discipline:
 My tone of voice and redirection.

Where would Pembroke spend the majority of the time:
 In the house with us. We hang out in the family room, so the dog would probably decide to be in that room. Our current dog has free reign of our house.

Discipline:
 My tone of voice and redirection.
Where would Pembroke spend the majority of the time: In the house with us. We hang out in the family room, so the dog would probably decide to be in that room. Our current dog has free reign of our house.

House dog or outside dog?

 House dog

People at home during the day?
 Yes

Where would dog eat?
 In the kitchen.

Where would dog sleep:
 That depends on where the corgi wants to sleep. Our current dog sleeps on her bed in the family room and sometimes in my daughter’s room. The corgi would probably start out in our room on a dog bed or in a cage until we know it’s behavior, and then it would be able to decide where it would like to sleep. It would have the option of a cage and its own bed as well as different rooms of the house.

Play & exercise:
 We have a fenced in yard that we will play in with the corgi multiple times a day. We will take the corgi on walks several times a day. We will have indoor toys for the corgi to play with. We will be around the corgi all day long.

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?
 We have a chain link fence around our entire yard. Our neighbors on 3sides have wooden fences., so we essentially have a double fence on those sides.

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:

 We have a large yard with a fenced in back yard. The yard has a patio and large grass area. There are bushes lining the yard, in front of the fence.

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?
 Susan Wobbekind

Willing to train children?
 Yes. My children have always been surrounded by animals and we reach them to respect them as they do humans.

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}