Untitled_3748

Applicant IL
State: {Applicant State:2} Date of Application: 04/11/2021 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:
 Female
Color preferred:
 Any color
Activity level:
 Couch Potato, Outgoing, Quiet, Playful, Energetic, Very Active

Other preferences:
 Must get along with other pets. We have no kids.

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?

 Me mostly. Michael will love it too though.

Why do you want a Pembroke?
 Yes, I researched. She has similar traits of our current border collie and my deceased fox terrier rolled into one. They are social so she should get along with Josie our mostly outside dog, 3 cats (all adopted), 9 chickens we rescued, and 2 macaw parrots rescued. Easy to train and please as she wants to please us too.

Activities planned with Pembroke:
 Provided she and Josie get along which I'm sure they would, then they both get to go on one daily excursion to various waterfalls in the area, remote walking trails, etc. as that's what Josie gets every day. Besides that, this is 2.5 acres in the boonies so lots of room to run. We have a K-nine ring shooter, lots of tennis balls and frisbees. And, she can chase the chickens back when they get too close to the creek here. 🙂 At nap time and night time, she'll be on my lap or near me/us.

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: 		Just scold, retrain or reinforce good behavior.

Discipline:
 Scold, talk to them. If it was something really bad, we have an outside dog kennel we put Josie in when we mow or use the 4-wheeler as she barks at the tires. We have an inside kennel too that isn't being used.

Where would Pembroke spend the majority of the time:
 If not so active, then probably mostly in the house with me. I'm home 24/7, but we'd go for walks. If active, then outside more weather permitting. We have a huge 2.5 acre yard with a creek in the back for hot days.

Discipline:
 Scold, talk to them. If it was something really bad, we have an outside dog kennel we put Josie in when we mow or use the 4-wheeler as she barks at the tires. We have an inside kennel too that isn't being used.
Where would Pembroke spend the majority of the time: If not so active, then probably mostly in the house with me. I'm home 24/7, but we'd go for walks. If active, then outside more weather permitting. We have a huge 2.5 acre yard with a creek in the back for hot days.

House dog or outside dog?

 House dog

People at home during the day?
 I'm retired and work from home now as a court transcriptionist, so I'm at my computer a lot, but can stop anytime and take lots of breaks so we could go play for a while.

Where would dog eat?
 Raised dishes in our kitchen.

Where would dog sleep:
 If she wants a crate or kennel in the house, we have one. If she prefers a dog bed, we have a few and that's what she gets. If she wants to sleep with us, bonus!

Play & exercise:
 She will get a lot of exercise out here. We have a huge yard, tons of tennis balls, a hoop shooter for dogs, and dog frisbees. With me she'll get about 6 x a day to go outside and play or walk. When hubby gets home, he'll take them both for a trip somewhere to walk, like Heyman Falls, Maple Hills X-Country, etc.

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:

 Ranch home on 2.5 acres with Mill Creek down the hill behind the house. We have chickens and a coop outside, and a couple of outside pet cats. Quite a ways out front is the road, which probably has only 8 – 10 cars on it a day. A farmer with horses and donkeys is across the road, and all around us is farmer fields.

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?
 Deborah Nelson

Willing to train children?
 No children and our youngest grandchild is 16

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're used to it. They all end up loving each other eventually.

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}