Untitled_3026

Applicant IL
State: {Applicant State:2} Date of Application: 05/23/2020 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:
 Red & White, Red Headed Tri, Sable & White
Activity level:
 Couch Potato, Outgoing, Quiet, Playful, Energetic, Very Active

Other preferences:
 The only reason I didn’t check black Tri is because that’s what I have now- but if one comes along that gets along with Bear, I’m totally fine with it! Bear is on the smaller side, about 24lbs, and I would prefer that his new buddy be on the smaller side as well.

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?

 Me, and a buddy for my nearly 2 year old corgi, Bear (neutered)

Why do you want a Pembroke?
 I own a very spunky Black Tri. He’s on the smaller side. He’s well trained and very social (almost too social)

Activities planned with Pembroke:
 I take bear on 2-3 walks per day totaling about 3 miles. We do a lot of trails around the city. We’ve taken him out to eat, and attended outdoor concerts in the summer. He has a baby pool in our fenced in back yard that he loves to jump in and play with toys.

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: 		Mine is very sensitive, so even if I raise my voice a bit he feels really bad and goes in his kennel, so I try to redirect. He really never does anything bad though. If he gets too wild at night playing I say “bear chill” and he does, at least for a bit.

Discipline:
 Leave it and take it commands are what I use for 99% of everything. I can leave a plate of food in the living room and tell him to leave it while I get something to drink and he totally will. I haven’t tried it for more than a couple minutes, too nervous lol.

Where would Pembroke spend the majority of the time:
 In my office, living room, back yard. He’s kennel trained at night and loves to go to bed.

Discipline:
 Leave it and take it commands are what I use for 99% of everything. I can leave a plate of food in the living room and tell him to leave it while I get something to drink and he totally will. I haven’t tried it for more than a couple minutes, too nervous lol.
Where would Pembroke spend the majority of the time: In my office, living room, back yard. He’s kennel trained at night and loves to go to bed.

House dog or outside dog?

 House dog

People at home during the day?
 Yes

Where would dog eat?
 Dining room

Where would dog sleep:
 Kennel

Play & exercise:
 3 miles of walks daily and run around in the back yard

How will you exercise your dog?
 On leash

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 foot tall privacy in back, wrought iron 4 ft in front

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:

 Fenced in front and back yards

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?
 Nicole

Willing to train children?
 He knows and loves is corgi brother

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}