Untitled_3656

Applicant IL
State: {Applicant State:2} Date of Application: 02/24/2021 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
Gender preferred:
 Either a Male or a Female
Color preferred:
 Any color
Activity level:
 Couch Potato, Outgoing, Quiet, Playful, Energetic, Very Active

Other preferences:
 While we would consider any Pembroke, we would like to know if a dog available had been tested for DM so we could prepare our selves and watch for signs of it to catch it earlier then we did with our last Pembroke.

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?

 This Pembroke is for our family. Our previous Pembroke passed last week after a long battle with DM and Kidney Cancer.

Why do you want a Pembroke?
 We have previously adopted two Pembrokes. the first died of old age 10 years ago His age was unknown, but, it was estimated to be at least 14. Our second passed recently at the age of 13 from cancer. He also had Degenerative Myelopathy for which we used both a wheel chair and a sling to carry his hind side. We love the personality, loyalty and outgoing friendliness of the breed. Their smile melts our heart.

Activities planned with Pembroke:
 We have a fenced in back yard so we would like to play fetch and run around with him/her. We also walk several times per week and would take him for walks in the neighborhood or local park. Likewise, it's always nice to just have a lap dog to pet while we rest in the living room, etc.

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: 		gentle correction, redirection to positive response.

Discipline:
 redirection

Where would Pembroke spend the majority of the time:
 Living in the house with our family. We have two children (18 and 20 years old) who are remote learning from home so most of the dog's time would be freely roaming the house. We do have a crate with a bed in that we keep the door open for our dog to use when they want some privacy or if it's needed if we run errands.

Discipline:
 redirection
Where would Pembroke spend the majority of the time: Living in the house with our family. We have two children (18 and 20 years old) who are remote learning from home so most of the dog's time would be freely roaming the house. We do have a crate with a bed in that we keep the door open for our dog to use when they want some privacy or if it's needed if we run errands.

House dog or outside dog?

 House dog

People at home during the day?
 yes, both of our children (18 and 20) are remote learning. My wife will occasionally work from home as well.

Where would dog eat?
 from his dish in the kitchen

Where would dog sleep:
 in his/her bed in our (parents) bedroom

Play & exercise:
 We have a large fenced in back yard (approx 60' x100') for the corgi to run and play in. We also take walks to the local parks.

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?
 4' (at its lowest point) wooden fence surrounding the back yard.

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 60'x100' fenced in back yard with a low deck and trees. A shed and playground area are within the 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?
 Kurt & Ann

Willing to train children?
 Yes, our children have a long history of living with a dog in our house. They very much respect and know how to take care of them and are well aware of the quirkiness of the corgi bread (barking, herding mentality, etc.)

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, we would research to find a solution to resolve any issues that may arise

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}