Untitled_4053

State: {Applicant State:2} Date of Application: 12/06/2021 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:
Female
Color preferred:
Red & White, Red Headed Tri, Sable & White
Activity level:
Couch Potato, Outgoing, Playful

Other preferences:
We need a dog who is good with kids (our girls are 10 and 12) and good with other dogs. Our goldendoodle is a big energetic love, who get along GREAT with other dogs. Also being a "cuddler" helps!

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?

Our Family (Me, My Wife, and our two daughters.

Why do you want a Pembroke?
We love the breed. They are smart, the right size and have a great temperament. We have researched several breeds and keep coming back tot he Pembroke Welch Corgi.

Activities planned with Pembroke:
Daily walks, games of daily fetch, occasional tricks for treats, and of course Cuddles.

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:
You have to catch it when it happens. If not, the moment has passed and the dog will not know what it did wrong.

Discipline:
A firm "No" and then show them what you want to them do.


Where would Pembroke spend the majority of the time:
In the home with our other dog and my wife (my wife works from home).

Discipline:
A firm "No" and then show them what you want to them do.
Where would Pembroke spend the majority of the time: In the home with our other dog and my wife (my wife works from home).

House dog or outside dog?

House dog

People at home during the day?
Yes, my wife is home 4 days of the week or more

Where would dog eat?
In the foyer. It is our "dog" room. it has gates that can be moved to allow space for her and our other dog to eat separately so their is no competition.

Where would dog sleep:
In a crate in our room to start, and then just in our bedroom with a gate across the bedroom door with us.

Play & exercise:
Daily walks with me, my wife, or our oldest daughter. And lots of play with our other dog and games of fetch.

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?
6 ft wood fence on 3 sides, cyclone fence across the back. Only one wooden gate for access that is double latched.

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:

Fenced in yard, large tree in the center, a couple of flower gardens, and a brick patio.

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?
Tana

Willing to train children?
Yes. My children already know much, but we always reinforce

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?
Of course! We want all kids (2 and 4 legs) to get along. We will consult our trainer if needed.

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}