Untitled_3495

Applicant IL
State: {Applicant State:2} Date of Application: 12/09/2020 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, 3 years – 5 years
Gender preferred:
 Either a Male or a Female
Color preferred:
 Any color
Activity level:
 Couch Potato, Outgoing, Quiet, Playful, Energetic, Very Active

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 pet.

Why do you want a Pembroke?
 My family has researched the breed. We know corgis to be quite playful and smart. We are also drawn to the size of a corgi, as it is ideal for our family. We have family friends who have had numerous positive experiences with this breed.

Activities planned with Pembroke:
 We live in an area that will provide a great deal of outdoor space for a dog. We look forward to long walks, chasing balls, and playing with other dogs if appropriate.

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 would redirect the Corgi to another activity. If the mistake has to do with potty training, we would take the dog outside and reward him/her when they go to the bathroom outside. We do not yell or hit animals in our home.

Discipline:
 We would attend training classes if necessary, but generally we would give our pet toys of their own to play with, redirect them as necessary, and make sure they are not bored and get plenty of outdoor exercise.

Where would Pembroke spend the majority of the time:
 In our home with 3-4 family members and outdoors in our surrounding neighborhood.

Discipline:
 We would attend training classes if necessary, but generally we would give our pet toys of their own to play with, redirect them as necessary, and make sure they are not bored and get plenty of outdoor exercise.
Where would Pembroke spend the majority of the time: In our home with 3-4 family members and outdoors in our surrounding neighborhood.

House dog or outside dog?

 House dog

People at home during the day?
 Yes, main applicant works from home.

Where would dog eat?
 In the kitchen of our home.

Where would dog sleep:
 On his/her own bed in adult or grown child's bedroom.

Play & exercise:
 As a family we would have 2 or more hours per day to devote to outdoor activities with our corgi. We have open land access for exercise and numerous open fields where we live for chasing balls and running safely.

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:
 We live in a single family home on the grounds of a boarding school.

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 large yard, no fence, and acres and acres of outdoor space to be explored with our corgi. The next question is related to a home visit, which we would be happy to submit to, but during the pandemic, those who do not attend the boarding school on this campus may not enter campus. We would have to get special approval, and all protocols would need to be followed.

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?
 Laura Dozois

Willing to train children?
 Both of my children are legal adults. They are well aware of how to treat animals.

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?
 We don't have any pets.

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}