Untitled_2778

Applicant IL
State: {Applicant State:2} Date of Application: 01/18/2020 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:
 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, Other (Please describe in the box below.)

Other preferences:
 Being social is very important. When I travel for work, the corgi will be staying at houses with other dogs. Also I sometimes dog-sit when friends travel and my corgi might be with me at another house with dogs or have other dogs in our home.

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?

 Myself

Why do you want a Pembroke?
 I adopted Chloe in 2003 from Lakeshore PWC rescue. She died in Nov 2017. I have friends who have corgis, and summer of 2019 got my corgi fix by joining them at a corgi picnic in Wisconsin.
I love their social nature, social butterflies. Good things come in little packages, but they don't know they are little (although Chloe was exceptionally small at only 18 pounds).

Activities planned with Pembroke:
 Car rides, walks, visiting friends with dogs.
It also depends on the dog, I did agility with Chloe. I also had a beagle/pointer mix that I took to the local nursing home/rehab to visit with the residents.

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: 		Depends on the situation and what kind of mistake. A stern 'no' or 'leave it', with re-direction.

Discipline:
 Verbal and redirection.

Where would Pembroke spend the majority of the time:
 With me when I'm home, or wherever I could take him/her with me. When s/he must be home alone, either in a crate or in the kitchen (depends on the dog, they can be mischievous, so crating can keep them safe. My past 2 dogs were crate-trained. When Chloe was losing her eyesight and hearing, she was anxious in the crate, so I stopped using it and she stayed in the kitchen.

Discipline:
 Verbal and redirection.
Where would Pembroke spend the majority of the time: With me when I'm home, or wherever I could take him/her with me. When s/he must be home alone, either in a crate or in the kitchen (depends on the dog, they can be mischievous, so crating can keep them safe. My past 2 dogs were crate-trained. When Chloe was losing her eyesight and hearing, she was anxious in the crate, so I stopped using it and she stayed in the kitchen.

House dog or outside dog?

 House dog

People at home during the day?
 No. I occasionally work from home.

Where would dog eat?
 In the kitchen.

Where would dog sleep:
 In my bedroom, either on my bed or in their dog bed.

Play & exercise:
 Play times in the evening – either with toys or walks in tolerable weather. Weekend long walks.

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?
 Chain link and wrought aluminum.

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:

 Fence encloses the yard around 3 sides of the house (north, east, south), with self-closing gates on the north and south sides.. Garden is on the south side with a small fence to keep the dogs out of the garden when I am not with them. Patio, Grass, bushes and arborvitaes.

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?
 Cindy

Willing to train children?
 No children in the home

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}