Untitled_4049

State: {Applicant State:2} Date of Application: 11/30/2021 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:
Outgoing, 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?

Family dog

Why do you want a Pembroke?
We are looking for an affectionate, intelligent, active dog that will fit in with our "pack". Our Great Pyrenees is always looking for a playmate to run with and chase. Through our fostering activities with Retrieve a Golden of the Midwest, we have discovered she plays best with smaller dogs and puppies. The protective nature of the Corgi will fit right in with our suburban LGD.

Activities planned with Pembroke:
We are an active family and take formal walks with the dogs daily and we make frequent visits to local nature preserves for trail walks. We spend a lot of time in our back yard in the evenings and on weekends – we hate being indoors. Even in the winter we light a bonfire and play with the dogs in the back yard.

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:
Correct and redirect – e.g. if he is chasing the cat, stop the activity and redirect to a more appropriate one.

Discipline:
Our dogs are rather easy to discipline. A firm "No!" and moving them on to something else is generally all it takes. Actually, I have the "mom stare" down pretty well. I always follow up with a treat when they stop and go on to something positive.


Where would Pembroke spend the majority of the time:
Wherever we are – in the living room, back yard, home office.

Discipline:
Our dogs are rather easy to discipline. A firm "No!" and moving them on to something else is generally all it takes. Actually, I have the "mom stare" down pretty well. I always follow up with a treat when they stop and go on to something positive.
Where would Pembroke spend the majority of the time: Wherever we are – in the living room, back yard, home office.

House dog or outside dog?

House dog

People at home during the day?
Yes. I work from home. Eventually I will be home 4 days per week and Steve is home on my in-office day.

Where would dog eat?
Kitchen

Where would dog sleep:
Wherever he wants. Our English Cream prefers to sleep in the shower in our master bath, the Pyrenees sleeps on our bed or the floor.

Play & exercise:
We play fetch and "chase the dog" in the back yard almost daily. Whenever we have a foster dog, there is a nonstop wrestling match going on in the living room with toys and dogs.

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?
We have a five-foot mini-mesh chain link fence with automatically closing/locking gates. The underside of our deck stairs is blocked with lattice fence. All fencing is held down with candy-cane hooks to keep dogs from sneaking under the fence.

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 butterfly garden that becomes a playground for the dogs and is generally trashed by the end of the season. There is a flagstone patio with a large fire pit. And a patio with a gas fire pit. A large deck of the upper floor overlooks the back 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?
Shelly Conlin

Willing to train children?
My boys are experienced dog owners.

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?
We have been fostering dogs of varying ages and we have experience introducing the dogs to our cats. Additionally, our cats are dog-savvy and know how to co-exist with dogs. Our cats are used by other fosters who need to "cat-test" their foster dogs. We will definitely work towards a peaceful co-existence, if that is the best we can get.

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, [email protected], friend.:87}