Untitled_2992

Applicant IL
State: {Applicant State:2} Date of Application: 05/11/2020 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:
 1 year – 3 years
Gender preferred:
 Either a Male or a Female
Color preferred:
 Any color
Activity level:
 Couch Potato, Outgoing, Quiet, Playful

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?

 This adoption would be ourselves, a retired couple in their mid-60s. Live in the Milwaukee, WI area in a pet-friendly apartment complex. Have had a Corgi/Beagle mix in the past, and would love to adopt a young/adult Corgi at this time, hopefully in the current age range of 1-5 years old.

Why do you want a Pembroke?
 Adopted a 5-yr old Corgi/Beagle mix several years back, and loved her immensely until her passing at the age of 12 from kidney failure. We've also enjoyed the company of a neighbor's young Corgi since.

Activities planned with Pembroke:
 Now that we've retired from our professions, we have more time to pay attention to him/her with plenty of walks, car rides, and play time.

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: 		Sternly question them on what they did, place their nose in the mistake area, with a forceful "No. No. No." Never strike.

Discipline:
 Mainly verbal disapproval, with a 'time-out' in a crate if needed. If continual problem, would seek advice of a professional.

Where would Pembroke spend the majority of the time:
 Dog would have free reign of our living area. Dog bed if they preferred one. When we're not able to take the dog along, it would spend its time either crated, or remain loose inside the apartment, depending on situation.

Discipline:
 Mainly verbal disapproval, with a 'time-out' in a crate if needed. If continual problem, would seek advice of a professional.
Where would Pembroke spend the majority of the time: Dog would have free reign of our living area. Dog bed if they preferred one. When we're not able to take the dog along, it would spend its time either crated, or remain loose inside the apartment, depending on situation.

House dog or outside dog?

 House dog

People at home during the day?
 All Day, other than quick errands.

Where would dog eat?
 A designated area of either the dining room or kitchen, always with water available, and depending on their habit, either establish a designated meal time, or always hard food in bowl if a grazer.

Where would dog sleep:
 In the same room as us, whether in a dog bed, or on a carpeted bedroom floor.

Play & exercise:
 Live in an apartment building, but with a designated dog area on the property, and a residential area nearby with plenty of opportunities for walking. He/she would also have an ample amount of toys to play with if so desired.

How will you exercise your dog?
 On leash

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:

 No house.

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?
 First person available. Equally responsible.

Willing to train children?
 Have adult children and three young grandchildren nearby, who have current experience being around animals, and treat them well.

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?
 Absolutely.

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}