Untitled_3190

Applicant IL
State: {Applicant State:2} Date of Application: 07/28/2020 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:
 0 months – 1 year (we rarely get dogs in this age group), 1 year – 3 years
Gender preferred:
 Female
Color preferred:
 Any color
Activity level:
 Couch Potato, Outgoing, Quiet, Playful

Other preferences:
 We have three children who absolutely love dogs, lots of hugs and kisses and snuggles. It will need to be a dog that is super tolerant and easy-going like our last corgi.

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 of five

Why do you want a Pembroke?
 We have had two pembroke welsh corgis, both adopted from your organization. These dogs have been perfect fits for our family. We love the breed: how they look, the community of corgi lovers, their sweet and gentle personalities and their goofiness and playfulness. They are easy to care for from a grooming perspective and a nice size dog.

Activities planned with Pembroke:
 Walks, play toys, the kids love to just snuggle and give lots of hugs and kisses. We enjoy time in our yard. We would love a dog that we can take on hikes and camping when we go. We also like to visit relatives and always bring our dog with.

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: 		Roll with it. Take proactive, preventative measures beforehand in anticipation of any issues. Use verbal commands to teach them expectations and work with them on consistently implementing them.

Discipline:
 Same as above.

Where would Pembroke spend the majority of the time:
 Initially crated while we are away (which isn't often because my husband and I work different shifts). All of our dogs have had free rain of the house once they are potty trained.

Discipline:
 Same as above.
Where would Pembroke spend the majority of the time: Initially crated while we are away (which isn't often because my husband and I work different shifts). All of our dogs have had free rain of the house once they are potty trained.

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:
 In our bedroom

Play & exercise:
 We are used to walking our previous corgi several times each day. The kids would love to have a corgi that loves to play with them. We have a yard, a park across the street and a walking path that starts across the street.

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:
 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 yard in the front and back of our house. We have a woods in our backyard. There is an invisible fence in the yard but we have not used it with our previous corgi. We could certainly get that up and running.

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?
 Everyone has a role – ultimately Tanya

Willing to train children?
 My children know how to humanely care for animals because they have had a corgi all of their lives. They LOVE dogs and participate in caring for them including feeding, walking, going to the vet, playing and making sure they are safe and taken care of at all times.

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?
 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}