Untitled_3662

Applicant IL
State: {Applicant State:2} Date of Application: 02/28/2021 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:
 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:
 Other (Please describe in the box below.)

Other preferences:
 will be able to live in a house with cats and 2 senior dogs and a farm outside with chickens and other animals.

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?

 The dog would be for the family as a therapy and farm dog. So it mush get alone with people and animals.

Why do you want a Pembroke?
 With our past adoptions of Corgis, we thoroughly enjoyed how they interacted with our animals and family members. We are semi-retired and expect to volunteer exceedingly more. Our daughter works in a memory care senior home in the activity department. She feels the residence certainly could use the company of a therapy dog. There past therapy dog is deceased. Corgi's are smaller but have a large dog mentality. We are a family of misfits and only have abandoned or shelter animals.

Activities planned with Pembroke:
 We are a farm family. Chores morning and night. However, we have special therapeutic beds for our dogs, that spend there time in the house with the family. We would also be traveling with the dog. So, it will need to be able to ride in a car. I am a licensed wildlife rehabilitator. Our past rescue Corgi's were some of the best babysitters to the farm animals. Our family is active and everyone participates. That includes our dogs.

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: 		It depends on the mistake because the way of handling it would be different.

Discipline:
 talking to and keep working with them until they learn not to do it and keep affirming good behavior

Where would Pembroke spend the majority of the time:
 In the house with us

Discipline:
 talking to and keep working with them until they learn not to do it and keep affirming good behavior
Where would Pembroke spend the majority of the time: In the house with us

House dog or outside dog?

 House dog

People at home during the day?
 Yes

Where would dog eat?
 In the garage with the other dogs. we teach them that dinner is outside but then can come right back inside the house when finished.

Where would dog sleep:
 On beds in the house or outside if the corgi chose to go outside

Play & exercise:
 Its up to whatever they want. We live on a farm and we would take them outside and play outside or in the house.

How will you exercise your dog?
 Both on leash and restrained to the yard

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:

 we have a large 3 acre farm surrounded by 900 acres and we have pond with easy access to get out. the pond is for the ducks and geese during the summer and release of the rehabilitated fowl

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?
 James Maitland

Willing to train children?
 there are no children in the house. they are old enough and know how to treat animals properly.

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

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}