Untitled_4076

Applicant IL
State: {Applicant State:2} Date of Application: 12/20/2021 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:
 5 years – 10 years, 10 years +
Gender preferred:
 Female
Color preferred:
 Any color
Activity level:
 Couch Potato, Quiet, Playful

Other preferences:
 Will be living with 1 senior male dog, several cats (mostly seniors) & 4 birds

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?

 Both of us, though Joe is excited about having another corgi.

Why do you want a Pembroke?
 We were blessed with owning a corgi shortly after we were married (50+). He was a puppy with a bundle of fun & love. He came from a pet store (boo!) Joe would go to the store any time he was in the neighborhood & finally decided he needed to take him home where he would get the love & care he needed. It was a wonderful choice & even during the puppy stage, we were never sorry we adopted him.

Activities planned with Pembroke:
 Walks, walks & more walks. He/she would live in a house with a doggy door & fenced in backyard. We would play with him/her according to its age & ability.

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: 		With patience & understanding. You try to redirect the dog to the proper way to do things. Sometimes all they need is a hug.

Discipline:
 A stern voice may be enough to stop the dog from doing wrong.
Redirecting the dog's actions from what they are doing to a more acceptable one.
If necessary, a time out in their crate would be appropriate.

Where would Pembroke spend the majority of the time:
 Since we are both retired & don't do much traveling, our Pembrook would spend most of her time wherever we are…in the house, outside while we work in the garden, etc.

Discipline:
 A stern voice may be enough to stop the dog from doing wrong.
Redirecting the dog's actions from what they are doing to a more acceptable one.
If necessary, a time out in their crate would be appropriate.
Where would Pembroke spend the majority of the time: Since we are both retired & don't do much traveling, our Pembrook would spend most of her time wherever we are…in the house, outside while we work in the garden, etc.

House dog or outside dog?

 House dog

People at home during the day?
 Yes, most days at least one of us is home.

Where would dog eat?
 Meals are served in the kitchen under supervision because we have another dog & several cats. Currently, each one knows its eating place. And we do not free feed!

Where would dog sleep:
 There are multiple animal beds around the house. In the beginning, she might have to sleep in a crate or in a bed in our bedroom. Once everyone is comfortable with rules, she can sleep anywhere she wants. Usually our pets find their favorite spot & sleep there.

Play & exercise:
 Marilyn likes to take walks & our corgi will go with her.
Joe likes to work in the yard & would play with the corgi & her toys.
Romeo, our dog, would love to run "laps" with her.

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 is a chain link 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:

 It's a fairly normal fenced in yard. A few trees, no pool, a couple of gardens & a small deck attached to the back of the house.

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?
 Both of us. We share the responsibilities

Willing to train children?
 Yes, we've done it before when our son was little. We do not have any young ones in our family at this time. Our youngest grandson is 13 & he has grown up with dogs.

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?
 As long as there are no incidents of one pet trying to kill another pet, we are capable of solving problems.

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}