Untitled_2904

Applicant IL
State: {Applicant State:2} Date of Application: 04/06/2020 Referred by: Breeder
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, 3 years – 5 years
Gender preferred:
 Male
Color preferred:
 Any color
Activity level:
 Couch Potato, Outgoing, 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?

 Family dog

Why do you want a Pembroke?
 My family has owned 2 corgis in the past. Our first corgi lived for 12 years and our 2nd corgi only livid till the age of 4, but he had stage 5 leukemia. It is the perfect breed for us. We love that the dog is energetic and as a fun personality. The corgi is not too big or too small for our family and home. We have had a lot of fun positive experiences with our two corgis. Winter time for our two corgis, were their favorite time. They loved running in the yard playing in the snow. My oldest corgi loved burring himself in the snow and making tunnels.

Activities planned with Pembroke:
 Our family would take the corgi for walks, and have play dates with other dogs. We would also play with the dog in our fenced in backyard and play inside. Our past corgis loved playing chase, playing catch, and tug of war. Our last corgi was super active and we took him on lots of walks. Having super active dog is nothing new to my family and we enjoyed every bit of it. We are hoping to get another active corgi.

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: 		If the corgi has an accident in the house, I would probably yell "no pee in the house" and have him go outside. If the corgi is chewing on something that he is not supposed to be chewing on, I will say "we don't chew on this, we chew on this" and replace the unwanted object with an object that can be chewed on.

Discipline:
 In the past, I have put my dogs in time out if they have been naughty. For time out they go either in the crate or we put them behind the baby gate in the family room.

Where would Pembroke spend the majority of the time:
 My corgi would spend most of his time either in the house or outside.

Discipline:
 In the past, I have put my dogs in time out if they have been naughty. For time out they go either in the crate or we put them behind the baby gate in the family room.
Where would Pembroke spend the majority of the time: My corgi would spend most of his time either in the house or outside.

House dog or outside dog?

 House dog

People at home during the day?
 Yes, my dad works from home. My next door neighbor is a dog walker and is able to come help let the dog out for quick potty breaks during the day. She has done this in the past for us.

Where would dog eat?
 He will eat in the kitchen.

Where would dog sleep:
 He would sleep in my room either on my bed, or on a dog bed. The corgi will choose where he wants to sleep but he has options.

Play & exercise:
 My new corgi would get walked at least twice a day. He would have a chance to spend a good amount of time (20 minutes or however long he wants) to spend in the backyard (fenced backyard). We will also have plenty of toys placed throughout the house for him to choose from.

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?
 It is fully fenced in yard. The fence is over 5 feet high. It is all wood and there are no gaps between the wood where the corgi might get himself stuck.

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 fenced in yard with grass and lot of driveway. Our detached garage and some our cars are parked in the back as well.

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?
 Abby

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?

Are you willing to work on it if your new dog doesn’t get along with your current pets right away?
 I would, but we do not have any pets right now.

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}