Untitled_3486

Applicant IL
State: {Applicant State:2} Date of Application: 12/06/2020 Referred by: Website, 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:
 1 year – 3 years
Gender preferred:
 Male
Color preferred:
 Any color
Activity level:
 Couch Potato, Outgoing, Quiet, Playful, Energetic

Other preferences:
 I have a female pembrook 12 months old. She needs a playmate. I have a 13 year old chihuahua mix that is not her friend. Sadie loves to play with the 2 male dogs next door and looks for them to play with. I feel she needs another dog to fill the void that she is missing.

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?

 Shelly

Why do you want a Pembroke?
 I have had many other dogs in my life. Sadie is my first Pembrook.. I love her out going personality, ready to go anytime and her stubbornness is one of the parts I love the most. Reminds me of myself at times!

Activities planned with Pembroke:
 We go for walks, go to the dog park looking for new friends. Loves car rides to visit family and the pet store is another favorite. She loves to catch bubbles and look for rabbit poop! Ugh! But she is the best dog I have ever owned.

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: 		Patience.. calmness. A firm no and redirect to correct what the issue is ie chewing, biting

Discipline:
 Positive reinforcement- that is the best for all.
And if totally crazy (puppy crazy zoomies and biting) a no and ignoring them the worst thing for my corgi.

Where would Pembroke spend the majority of the time:
 Family room

Discipline:
 Positive reinforcement- that is the best for all.
And if totally crazy (puppy crazy zoomies and biting) a no and ignoring them the worst thing for my corgi.
Where would Pembroke spend the majority of the time: Family room

House dog or outside dog?

 House dog

People at home during the day?
 Sometimes – depends on the work schedule or time off. Most days no one home from 9-3

Where would dog eat?
 Kitchen

Where would dog sleep:
 Upstairs in bedroom

Play & exercise:
 Play time 2 hours in the morning and after 3 it’s play time until 9:30 pm- we typically take a walk when I get home and then dinner for the dogs. Then play till bedtime. Either walk or go to dog park which is a
Block away for off leash roaming. Also looking for new house with no stairs and fenced back yard. Within the next 4 months.

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:

 Large back yard fenced on 2 sides – looking to sell and get a ranch with large fenced back yard.

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?
 Shelly

Willing to train children?
 Yes!!

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}