Untitled_3464

Applicant IL
State: {Applicant State:2} Date of Application: 11/26/2020 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:
 Any age
Gender preferred:
 Either a Male or a Female
Color preferred:
 Any color
Activity level:
 Other (Please describe in the box below.)

Other preferences:
 My daughter has a beagle that grew up with our Corgis, he is a frequent visitor.
We have an outdoor barn cat 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?

 Myself and my husband

Why do you want a Pembroke?
 As previously stated we have owned 2 Corgis. I love their personalities and their size.

Activities planned with Pembroke:
 We live on a 5 acre parcel so the dogs have ample room to exercise. Now that my own daughters are on their own, we have more time to devote to a dog, I would be able to attend training classes if that was necessary. We are homebodies my husband is retired and is home most of the 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?

 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: 		In the past we have used crate training and timed potty schedules.
If the dog has an accident, as soon as possible take him outside to let him know that's where he needs to go. Dog proofing the house to eliminate chewing on shoes and other things.

Discipline:
 Crate training, obedience classes, leash/collar training.
We worked extensively with an in home trainer with the beagle as he was very resource aggressive.

Where would Pembroke spend the majority of the time:
 In the house and the yard, we do have an invisible fence and have great success with training both our corgis and beagle and 2 labs to the fencing.

Discipline:
 Crate training, obedience classes, leash/collar training.
We worked extensively with an in home trainer with the beagle as he was very resource aggressive.
Where would Pembroke spend the majority of the time: In the house and the yard, we do have an invisible fence and have great success with training both our corgis and beagle and 2 labs to the fencing.

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 the past the dogs have always slept in the kitchen, on their own beds.

Play & exercise:
 Because of the Invisible Fence the dogs have always been in and out of the house at will. We have 3 of our 5 acres fenced for and they have ability to run and play or sniff and roam.

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?
 Invisible Fence, professionally installed

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 2 barns on the property, one the dogs are able to go into. The other barn is on the other side of the fencing. We have horses on the property and the horses are kept in the barn on the opposite side of the property where the dogs do not have access. All of the dogs we have had previously have been acclimated to the horses. We do have an above ground pool but are able to gate the access off as we did when we had puppies to prevent any accidents.

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?
 both of us care for our animals

Willing to train children?
 We have 3 adult daughters though they no longer live at home they were raised with animals and are respectful and loving of them.

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}