Untitled_3980

Applicant IL
State: {Applicant State:2} Date of Application: 09/28/2021 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:
 3 years – 5 years, 5 years – 10 years
Gender preferred:
 Male
Color preferred:
 Any color
Activity level:
 Quiet, Playful

Other preferences:
 No food aggression and passive. Definitely a beta.

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?

 For me, my husband, and our 3 corgi boys.

Why do you want a Pembroke?
 We absolutely love this breed, definitely have learned alot along the way with our boys.

Activities planned with Pembroke:
 Play with them and their toys, hit tennis balls in the back yard, and all the belly rubs.

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: 		Make adjustments so that it's less likely to happen. Like if they have an accident in the house to make sure to take them more frequently or if they throw up make sure to give them snacks on a schedule.

Discipline:
 Mostly sternly telling them to be quite when packages get delivered. I have to kind of herd them into an area where they can't get to the windows to bark.

Where would Pembroke spend the majority of the time:
 In our home and trips outside for the bathroom and yard maintenance. They'll almost always be with me or my husband. When we are out we have cameras to check on them.

Discipline:
 Mostly sternly telling them to be quite when packages get delivered. I have to kind of herd them into an area where they can't get to the windows to bark.
Where would Pembroke spend the majority of the time: In our home and trips outside for the bathroom and yard maintenance. They'll almost always be with me or my husband. When we are out we have cameras to check on them.

House dog or outside dog?

 House dog

People at home during the day?
 Yes, we are both home most the time with the small trips out here and there.

Where would dog eat?
 We do scheduled meals morning and night, all the dogs get their own bowl. We space them out in our kitchen.

Where would dog sleep:
 When we sleep at night we have a retractable gate at the top of the stairs with the bathroom and bedroom open. Most of our dogs sleep in bed with us or on dog beds.

Play & exercise:
 We let our dogs run loose with supervision and sometimes we have doggie play dates at our house or my parents house with my parents 2 dogs and my brother's 2 dogs too.

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?
 It's farm fence with chicken wire across the bottom. We also added privacy fabric around the whole yard except for where we have wood fencing.

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 deck, a shed and lots of trees.

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?
 Kassi

Willing to train children?
 Absolutely 100%

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}