Untitled_3370

Applicant IL
State: {Applicant State:2} Date of Application: 10/26/2020 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, 3 years – 5 years, 5 years – 10 years
Gender preferred:
 Either a Male or a Female
Color preferred:
 Any color
Activity level:
 Couch Potato, Outgoing, Quiet, Playful, Energetic

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?

 Our family: Michael, Jennifer, and three sons (19, 14, 13)

Why do you want a Pembroke?
 Our oldest son introduced us to Corgis. He loves his friend's two Corgis – their personalities/temperament and physical characteristics. We (the rest of the family) love our rescue Banjo (Boston terrier mix) and would prefer to adopt than to buy another dog. We believe Banjo would do well with a Corgi.

Activities planned with Pembroke:
 We will walk and play with our Corgi daily. Banjo loves to walk (leashed) on the trail in our neighborhood, and we would love to add a Corgi to our walking routine. We have a fenced backyard, but (as we do with Banjo) we will only let our Corgi out to potty or to play with us when we're outside. Northwest Arkansas is a great area to enjoy the outdoors, and we love walking Banjo in local parks. We think a Corgi would fit in well with our family.

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: 		We will encourage our Corgi with positive reinforcement. If our Corgi chews/destroys something, we will take it away and remember not to leave it or things like it in places the Corgi may find and take them. We will offer toys/bones as an alternative to satisfy the need. We will also give our Corgi affection frequently.

Discipline:
 We will remove temptations (shoes, etc..) and tell the Corgi "No". We will offer an alternative. We will not hit/spank.

Where would Pembroke spend the majority of the time:
 Our Corgi will spend most of his/her time inside with the family. I (Jennifer) work from home, and our Boston terrier (Banjo) is usually in my home office or asleep on his bed while I work. We walk daily, and when the weekend weather is good, we often go to local parks.

Discipline:
 We will remove temptations (shoes, etc..) and tell the Corgi "No". We will offer an alternative. We will not hit/spank.
Where would Pembroke spend the majority of the time: Our Corgi will spend most of his/her time inside with the family. I (Jennifer) work from home, and our Boston terrier (Banjo) is usually in my home office or asleep on his bed while I work. We walk daily, and when the weekend weather is good, we often go to local parks.

House dog or outside dog?

 House dog

People at home during the day?
 Yes – I work from home.

Where would dog eat?
 Our Corgi will eat in the kitchen. Banjo's food and water bowls are on the kitchen floor.

Where would dog sleep:
 Our Corgi will sleep on his/her bed in the master bedroom.

Play & exercise:
 Our Corgi will get daily exercise – walking with us on the trail in our neighborhood and playing in our fenced backyard.

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?
 We have a 6' wooden fence enclosing our yard. We leave the gates closed and latched.

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:

 Our lot is approximately 1/3 acre – all grass, trees, and mulched beds. The backyard is fully fenced, and the gates stay closed and latched. We do not have a swimming pool.

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?
 Jennifer

Willing to train children?
 Yes – our children love Banjo, and they are excited about adding a Corgi to our family.

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 – we are committed to helping everyone in our home (human and canine) get along well.

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}