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Untitled_2747

Applicant IL
State: {Applicant State:2} Date of Application: 01/01/2020 Referred by: Other
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:
 Any age
Gender preferred:
 Either a Male or a Female
Color preferred:
 Any color
Activity level:
 Couch Potato, Outgoing, Quiet

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?

 My husband and myself and our black lab

Why do you want a Pembroke?
 Corgis are adorable and so loving and outgoing. We want a sibling for our black lab mix, preferably not too high energy of a corgi though because our lab is a snugly couch potato. I've researched and know them to be loving, active, playful, and barky.

Activities planned with Pembroke:
 We'd walk our neighborhood and maybe some trails. We visit my parents very often so that is extra playtime. We'd play with toys and hopefully get a fenced in yard at our new home we're building.

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: 		Positive reinforcement has worked best for our lab. She is an absolute angel and so well behaved.

Discipline:
 We say "no" and our lab has understood. Sometimes a loud noise is needed to redirect attention or a finger snap.

Where would Pembroke spend the majority of the time:
 Mostly in our home, but sometimes at my parents.

Discipline:
 We say "no" and our lab has understood. Sometimes a loud noise is needed to redirect attention or a finger snap.
Where would Pembroke spend the majority of the time: Mostly in our home, but sometimes at my parents.

House dog or outside dog?

 House dog

People at home during the day?
 My husband and I work varying shifts so if our lab needs to be home alone longer than 6 hours, we take her to my parents or doggie daycare (once in awhile).

Where would dog eat?
 In the kitchen

Where would dog sleep:
 In our bed or floor

Play & exercise:
 Walks daily, playing with toys, and hopefully a fenced in yard.

How will you exercise your dog?
 On leash

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:

 We're building a home now, no pool, 1/2 acre lot and hope to put in a fence

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?
 Equally my husband and myself

Willing to train children?
 Yes

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}

Untitled_2746

Applicant IL
State: {Applicant State:2} Date of Application: 01/01/2020 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:
 Any age
Gender preferred:
 Male
Color preferred:
 Any color
Activity level:
 Couch Potato, Outgoing, Quiet, Playful

Other preferences:
 Would prefer a dog that socializes well with people. Preferably gets along with other dogs but not necessary.

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?

 Myself

Why do you want a Pembroke?
 I grew up with my aunt’s corgis and found their temperament to be exactly what I’m looking for in a dog. I find them to socialize very well and they perfectly bridge the gap between couch potato cuddle bugs while remaining active and playful. I also prefer more affectionate dogs which is consistent with the corgis I’ve known.

Activities planned with Pembroke:
 I’m a regular hiker and camper and would love to bring my corgi on my adventures. My girlfriend and I are also avid road-trippers and would love a furry companion to bring along and see the country.

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?

 No

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: 		Move him/her to another part of the house, discipline in the moment, redirect him/her to acceptable activities (ie replace the shoes they’re chewing on with a proper chew toy)

Discipline:
 Positive reinforcement
Clicker training
Redirecting behavior
Relocation in the house

Where would Pembroke spend the majority of the time:
 Generally at my home or with me hiking/camping. Regular trips to the dog park and long walks/jogs included.

Discipline:
 Positive reinforcement
Clicker training
Redirecting behavior
Relocation in the house
Where would Pembroke spend the majority of the time: Generally at my home or with me hiking/camping. Regular trips to the dog park and long walks/jogs included.

House dog or outside dog?

 House dog

People at home during the day?
 Sometimes. My work allows dogs so I would take him/her to work on occasion as well once he/she was properly trained and socialized to it. My girlfriend is home most of the day on weekends and I am home all day a few days during the week.

Where would dog eat?
 I have a spot in the dining room set aside for dog feeding.

Where would dog sleep:
 I would prefer to let the dog decide where he/she would like to sleep thought try to keep it consistent. Ideally he/she would sleep on a dog bed in the bedroom but I am open to allowing dogs on my bed of that is what he/she prefers.

Play & exercise:
 There is a large dog park near my home to which we’ll make regular trips. I also take daily jogs/walks for exercise that I’d like to include my corgi in. There are also larger parks downtown as well as the aforementioned hikes outside of the city which occur approximately monthly.

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:
 Rent/lease 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?
 Yes, you may contact my landlord.

Lease allow dogs:
 Yes, my lease permits dogs.

Landlord permission:
 Yes, my landlord is fine with me owning a Pembroke

Restrictive covenants?
 No, the condo covenants do not prevent me from having a dog.

Breed/size restrictions?
 Yes

Description of yard:

 There is a small grassed courtyard and a nearby dog park as well as a nearby dog friendly pool.

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?
 Robert Anthony Parise

Willing to train children?
 I do not have any children and have no plans to do so. That said, if I have children at any point I will make sure they learn to treat dogs properly.

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?

Are you willing to work on it if your new dog doesn’t get along with your current pets right away?
 No pets currently, but I would not introduce another animal into the house without making sure they get along with existing pets.

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}

Untitled_2745

Applicant IL
State: {Applicant State:2} Date of Application: 12/31/2019 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
Gender preferred:
 Either a Male or a Female
Color preferred:
 Any color
Activity level:
 Couch Potato, Outgoing, Quiet

Other preferences:
 Easily trainable and will be considered to train to become a psychiatric service animal.

Previous dog owner?
 No
 
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?

 Mackenzie. She needs an emotional support animal for her severe anxiety disorder.

Why do you want a Pembroke?
 I want to adopt a corgi because I think they are adorable, I have done a little research and their average size, weight, and personality all fit into what I need.

Activities planned with Pembroke:
 I would walk with my dog daily, go to stores that allow dogs, and basically do as much as I can with my dog. I need constant help with my anxiety, so I do not plan to be separated from my dog often.

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: 		I would discipline them in a calm yet firm way. For example, if they made a mess, I would say "no," point at the mess, and make sure they look at the mess.

Discipline:
 "Heel," put them in a "sit/stay," "no," "come," but NEVER abuse.

Where would Pembroke spend the majority of the time:
 Wherever I am at, whether that is in my dorm or out doing things. I spend a lot of my time outside doing homework and hanging with friends.

Discipline:
 "Heel," put them in a "sit/stay," "no," "come," but NEVER abuse.
Where would Pembroke spend the majority of the time: Wherever I am at, whether that is in my dorm or out doing things. I spend a lot of my time outside doing homework and hanging with friends.

House dog or outside dog?

 House dog

People at home during the day?
 Yes.

Where would dog eat?
 Whatever nutritional food it needs.

Where would dog sleep:
 In its' own bed and/or in my bed with me.

Play & exercise:
 I would make sure to add time in my schedule to play in the morning, afternoon, and evening. My schedule allows a lot of flexibility to play with my dog and take them outside.

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:
 Student in dorm

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?
 Yes, the condo covenants do prevent me from owning a dog.

Breed/size restrictions?
 Yes

Description of yard:

 My parents' home, where I live when I am not at school, has a huge grassy backyard. We live by a park trail they we take walks on as well.

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?

 No, I will not 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?
 Mackenzie Cirksena

Willing to train children?
 I do not have any kids or have any young children in my family.

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}

Untitled_2744

Applicant IL
State: {Applicant State:2} Date of Application: 12/18/2019 Referred by: Friend
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, 5 years – 10 years, 10 years +, Any age
Gender preferred:
 Either a Male or a Female
Color preferred:
 Any color
Activity level:
 Outgoing, Playful, Energetic, Other (Please describe in the box below.)

Other preferences:
 We have a 13 year old corgi who recently lost her spaniel companion.

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, for my partner, for my other corgi

Why do you want a Pembroke?
 My Corgi, Lilliput, has been a joy in my life. I love that she is so smart, always 3 steps ahead. She has a rather large vocabulary. When she was younger she was a star at agility (though we only trained, never competed). I love the attitude of herding dogs. I know that they need to learn right away what the rules are. Lilli not only learned the rules, but made sure other dogs followed those rules. In her first several years I spent time on Corgi message boards, learning a lot.
As a long-time Adoption Counselor (volunteer) at Dane County Humane Society for the last 11 years, I have worked with many types of dogs. The herding dogs have always been among my favorites.

Activities planned with Pembroke:
 My corgi, Lilli, was a star at agility classes. She went through many different types of classes to keep her busy, and her mind alert, We do visit a dog park 2 – 3 times a week. Since losing our Spaniel, she has lost some interest in walks, but we hope to re-engage her. An older dog would probably just spend time at the park, A younger dog may participate in classes.

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: 		A Mistake? If you mean peeing in the house, it must be cleaned with an enzimatic cleaner, and ignored. If caught in the act, distract, carry dog outside. A rule breaking? Distract, redirect. Figure out why it happened.

Discipline:
 Positive Reinforcement. Nothing in Life is Free. Lilliput is very tuned in to human speech. She wears a loose Martingale collar and responds to a quick tug, and a gesture or verbal command, If misbehaving in the house, she responds to verbal reprimands, and generally comes back to me.

Where would Pembroke spend the majority of the time:
 In the house. Should she need a crate, for house training or safety from things she may eat or destroy, then she would be in a crate when not supervised.

Discipline:
 Positive Reinforcement. Nothing in Life is Free. Lilliput is very tuned in to human speech. She wears a loose Martingale collar and responds to a quick tug, and a gesture or verbal command, If misbehaving in the house, she responds to verbal reprimands, and generally comes back to me.
Where would Pembroke spend the majority of the time: In the house. Should she need a crate, for house training or safety from things she may eat or destroy, then she would be in a crate when not supervised.

House dog or outside dog?

 House dog

People at home during the day?
 Yes. Me, my partner, Hall, and my adult son.

Where would dog eat?
 In laundry room with a door, that is closed between her food and other dogs.

Where would dog sleep:
 Where ever she wants.

Play & exercise:
 We have a fenced yard. There is another Corgi. We visit the dog park 2 -3 days per week. I weather is bad, we walk around the park on leash.

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 feet tall wood fence. Recently replaced, so the holes that the bunnies have chewed are all filled in.

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 house, with 6 foot wooden fence. There are two wooden decks. Also a garden that is often destroyed by dogs chasing toads. (sigh) A stone stairway leading down to a door.

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?
 Julia Churchill

Willing to train children?
 Absolutely! This is something I stress and teach at my job as an Adoption Counselor.

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?
 Slow, careful introductions. Teaching dogs how much they can mess with the cats. Cats have separate room with gate, where they can be alone, also a veritable forest of cat trees that are above Corgi height.

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}

Untitled_2743

Applicant IL
State: {Applicant State:2} Date of Application: 12/18/2019 Referred by: Friend
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, 5 years – 10 years, 10 years +, Any age
Gender preferred:
 Either a Male or a Female
Color preferred:
 Any color
Activity level:
 Outgoing, Playful, Energetic, Other (Please describe in the box below.)

Other preferences:
 We have a 13 year old corgi who recently lost her spaniel companion.

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, for my partner, for my other corgi

Why do you want a Pembroke?
 My Corgi, Lilliput, has been a joy in my life. I love that she is so smart, always 3 steps ahead. She has a rather large vocabulary. When she was younger she was a star at agility (though we only trained, never competed). I love the attitude of herding dogs. I know that they need to learn right away what the rules are. Lilli not only learned the rules, but made sure other dogs followed those rules. In her first several years I spent time on Corgi message boards, learning a lot.

Activities planned with Pembroke:
 My corgi, Lilli, was a star at agility classes. She went through many different types of classes to keep her busy, and her mind alert, We do visit a dog park 2 – 3 times a week. Since losing our Spaniel, she has lost some interest in walks, but we hope to re-engage her. An older dog would probably just spend time at the park, A younger dog may participate in classes.

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: 		A Mistake? If you mean peeing in the house, it must be cleaned with an enzimatic cleaner, and ignored. If caught in the act, distract, carry dog outside. A rule breaking? Distract, redirect. Figure out why it happened.

Discipline:
 Lilliput is very tuned in to human speech. She wears a loose Martingale collar and responds to a quick tug, and a gesture or verbal command, If misbehaving in the house, she responds to verbal reprimands, and generally comes back to me.

Where would Pembroke spend the majority of the time:
 In the house. Should she need a crate, for house training or safety from things she may eat or destroy, then she would be in a crate when not supervises.

Discipline:
 Lilliput is very tuned in to human speech. She wears a loose Martingale collar and responds to a quick tug, and a gesture or verbal command, If misbehaving in the house, she responds to verbal reprimands, and generally comes back to me.
Where would Pembroke spend the majority of the time: In the house. Should she need a crate, for house training or safety from things she may eat or destroy, then she would be in a crate when not supervises.

House dog or outside dog?

 House dog

People at home during the day?
 Yes. Me, my partner, Hall, and my adult son.

Where would dog eat?
 In laundry room with a door, that is closed between her food and other dogs.

Where would dog sleep:
 Where ever she wants.

Play & exercise:
 We have a fenced yard. There is another Corgi. We visit the dog park 2 -3 days per week. I weather is bad, we walk around the park on leash.

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 feet tall wood fence. Recently replaced, so the holes that the bunnies have chewed are all filled in.

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 house, with 6 foot wooden fence. There are two wooden decks. Also a garden that is often destroyed by dogs chasing toads. (sigh) A stone stairway leading down to a door.

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?
 Julia Churchill

Willing to train children?
 Absolutely! This is something I stress and teach at my job as an Adoption Counselor.

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?
 Slow, careful introductions. Teaching dogs how much they can mess the cats. Cats have separate room with gate, where they can be alone, also a veritable forest of cat trees that are above Corgi height.

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}

Untitled_2742

Applicant IL
State: {Applicant State:2} Date of Application: 12/31/2019 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
Gender preferred:
 Either a Male or a Female
Color preferred:
 Any color
Activity level:
 Outgoing, Quiet, Playful

Other preferences:
 We would love one who is already house trained, but we can also house train as well. We would also like to make sure our dog and the corgi are ok with each other.

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-Aside from my husband and myself, we have 2 boys (ages 5 and 8), and a 12 year old puppy name Kedzie (we think is a aussie mix) who we rescued from a shelter 11 years ago. The rescued corgi would be a part of our family.

Why do you want a Pembroke?
 I love all the herding dogs. I especially love the Corgis joyful and determined spirit which I think would match with our family's personality. I have done research on the breed-illnesses/health issues, genetic disorders, temperament and behavior.

Activities planned with Pembroke:
 We would play in the backyard with the kids, go for walks in the neighborhood, and go to the local dog park in Oak Park where we are members.

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: 		Depends on the mistake, usually we say "unun." to stop the behavior. Followed by a reward if the behavior is corrected.

Discipline:
 Mainly positive reinforcement with treats. We rarely have to discipline our dog these days.

Where would Pembroke spend the majority of the time:
 Initially, we would crate train during the time we are out. After a few months would let them roam the house. We would have beds for the dog to sleep on in various rooms-we do not allow dogs on furniture(it can cause hip issues as they get older–our inlaws dog had this). They would spend nighttime in our room.

Discipline:
 Mainly positive reinforcement with treats. We rarely have to discipline our dog these days.
Where would Pembroke spend the majority of the time: Initially, we would crate train during the time we are out. After a few months would let them roam the house. We would have beds for the dog to sleep on in various rooms-we do not allow dogs on furniture(it can cause hip issues as they get older–our inlaws dog had this). They would spend nighttime in our room.

House dog or outside dog?

 House dog

People at home during the day?
 For four days a week, the corgi would have 6 hours alone with our other dog. For the other 3 days we are home.

Where would dog eat?
 We feed our other dog Fromm which was recommened from the shelter. We also use Stella and Chewy raw treats. Would plan to do the same unless the corgi was on a specialized diet.

Where would dog sleep:
 Various dog beds through the house once out of the crate. At nighttime in our room.

Play & exercise:
 I would anticipate play indoors and out. at least 30-45 minutes outside and 30-60 minutes inside with the family

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 partially fenced on 2 sides with a5 foot fence, on 1 side with a 3 foot gate, and on 1 side with a retaining wall.

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, several larger trees, a small garden, a kids swing set, and last year I made a dog run area on the side 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?
 Ashima and Jacob

Willing to train children?
 Yes, we have for our current dog and will for any new members.

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}

Untitled_2741

Applicant IL
State: {Applicant State:2} Date of Application: 12/30/2019 Referred by: Breeder
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, 5 years – 10 years, 10 years +, Any age
Gender preferred:
 Female
Color preferred:
 Any color
Activity level:
 Couch Potato, Outgoing, Quiet, Playful

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?

 Myself

Why do you want a Pembroke?
 After researching different types of dogs I feel it's a perfect size and energy level for me. Also adorable?

Activities planned with Pembroke:
 Walking on a leash, dog parks, car rides. I love to just go diving around looking at scenery for a couple of hours & stopping for a short hike.

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?

 No

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: 		A no and redirect. NEVER EVER hit.

Discipline:
 As stated in the previous question. If I'm having trouble with something I will seek out a trainer to help me.

Where would Pembroke spend the majority of the time:
 Inside with me

Discipline:
 As stated in the previous question. If I'm having trouble with something I will seek out a trainer to help me.
Where would Pembroke spend the majority of the time: Inside with me

House dog or outside dog?

 House dog

People at home during the day?
 I'm home every day except for errands and sight seeing drives.

Where would dog eat?
 In kitchen area

Where would dog sleep:
 I will have a pet bed near my bed and a crate in case she would prefer that.

Play & exercise:
 Toys in home, walks and dog park.
Walks daily dog park probably 3 times a week.

How will you exercise your dog?
 On leash

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?
 No, the condo covenants do not prevent me from having a dog.

Breed/size restrictions?
 No

Description of yard:

 Small unfenced yard. No swimming pools or other dangerous areas. Approximately 1/4 acre.

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?
 Sandy Scaletta

Willing to train children?
 No small children in my home. 3 grandchildren that have pets of their own and know to treat animals with love and respect and be gentle with them.

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?

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}

Untitled_2740

Applicant IL
State: {Applicant State:2} Date of Application: 12/30/2019 Referred by: Other
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, 5 years – 10 years
Gender preferred:
 Either a Male or a Female
Color preferred:
 Any color
Activity level:
 Couch Potato, Outgoing, Quiet, Playful, Energetic

Other preferences:
 We love corgi dogs and would love to be considered to adopt a rehomed furry friend.

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?

 This dog will be for our whole family. Mostly my 8 yr old son and I would love to enjoy this dog together.

Why do you want a Pembroke?
 We have several friends with corgis and have enjoyed the breed for years. Yes, we have done research (esp my son?)

Activities planned with Pembroke:
 My son would like to enjoy bonding time, exercise, outdoor activities, parks,etc with a dog. He has lots of affection to share with a dog.

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: 		Discipline, training, working together as a team

Discipline:
 Same as above

Where would Pembroke spend the majority of the time:
 With me (or my son whenever possible) outdoors, walks, etc

Discipline:
 Same as above
Where would Pembroke spend the majority of the time: With me (or my son whenever possible) outdoors, walks, etc

House dog or outside dog?

 House dog

People at home during the day?
 Yes

Where would dog eat?
 Indoors

Where would dog sleep:
 Depending on individual dog, I am anticipating the need for a crate to sleep in at least at first until the dog understands our routine. Once trained and on routine, I am hoping not to need the crate for nights.

Play & exercise:
 Lots-my son and I have lots of energy and affection to give. We would love to spend time on exercise, activities with the dog, etc

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?
 Split rail with wire mesh-currently putting fence in.

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 live on 11 acres in the country. We have 2 horses that are stalled and and fenced at the back of our property. The front area where our house is, is separate from that. The house area has the dog space.

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?
 Stephanie Gill

Willing to train children?
 Yes. Also, my kids have been around and cared for many animals over time.

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?

Are you willing to work on it if your new dog doesn’t get along with your current pets right away?
 Of course

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}

Untitled_2739

Applicant IL
State: {Applicant State:2} Date of Application: 12/29/2019 Referred by: Other
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
Gender preferred:
 Male
Color preferred:
 Red & White, Red Headed Tri, Black Headed Tri, Sable & White
Activity level:
 Couch Potato, Outgoing, Quiet, Playful, Energetic, Very Active

Other preferences:

Previous dog owner?
 No
 
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?

 This Corgi would be for myself. I am a single mom, and now that my daughter is older and never home I am looking for a Corgi to love on and spend time with.

Why do you want a Pembroke?
 I am a single mom, and now that my daughter is older (17) and never home I am looking for a Corgi to love on and spend time with.

Activities planned with Pembroke:
 I live 1.5 miles from a dog beach and love going for runs at the beach regularly, I look forward to bringing my corgi to the beach with me and for walks. Also I love the Corgi community and would love to attend all the Corgi events.

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?

 No

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: 		As I don't have training with a dog currently, I would need to research the best way to handle this

Discipline:
 n/a

Where would Pembroke spend the majority of the time:
 In my home that has a good sized patio for being outside, I also live 1.5 miles from the beach and spend a lot of time there

Discipline:
 n/a
Where would Pembroke spend the majority of the time: In my home that has a good sized patio for being outside, I also live 1.5 miles from the beach and spend a lot of time there

House dog or outside dog?

 House dog

People at home during the day?
 yes

Where would dog eat?
 inside my home

Where would dog sleep:
 inside my home

Play & exercise:
 I take daily runs to the beach

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?
 I have a front yard patio that is fenced in

Living arrangements:
 Rent/lease 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?
 No, you may not contact my landlord.

Lease allow dogs:
 Yes, my lease permits dogs.

Landlord permission:
 Yes, my landlord is fine with me owning a Pembroke

Restrictive covenants?
 No, the condo covenants do not prevent me from having a dog.

Breed/size restrictions?
 No

Description of yard:

 I live in a condo

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?
 myself

Willing to train children?
 yes

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?

Are you willing to work on it if your new dog doesn’t get along with your current pets right away?
 n/a

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}

Untitled_2738

Applicant IL
State: {Applicant State:2} Date of Application: 12/29/2019 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:
 Either a Male or a Female
Color preferred:
 Any color
Activity level:
 Outgoing, Quiet, Playful, Energetic

Other preferences:
 Mellow personality. Social with other dogs and people. Not a barker.

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?

 Laurie Bigelow

Why do you want a Pembroke?
 I had a lovable tri-color Pembroke Welsh Corgi in the past and love the breed! Bruce, my Corgi, had a wonderful mellow personality. All my family and friends loved Bruce! He traveled with me at times when I was on vacation. He knew some tricks and and loved his yellow tennis ball. He tried to talk and it was so cute! I loved taking him on walks! I know Corgis are herding dogs. I took excellent care of him!

Activities planned with Pembroke:
 Go for walks. I live next door to a park and would take him or her there to play. I also live by a beautiful walking trail and would take him or her to walk and get exercise, sunshine and fresh air. I would like to take him or her in the car for car rides for short outings. I would like to take him or her to have play dates with friend's dogs.

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?

 No

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: 		Patiently show the correct way and use a treat for reinforcing positive behavior.

Discipline:
 Say "No" or "Stop" in a normal tone of voice and reinforce positive behavior with a treat.

Where would Pembroke spend the majority of the time:
 In my apartment with me when not outside.

Discipline:
 Say "No" or "Stop" in a normal tone of voice and reinforce positive behavior with a treat.
Where would Pembroke spend the majority of the time: In my apartment with me when not outside.

House dog or outside dog?

 House dog

People at home during the day?
 Yes, I only work 10 hours a week, so two half days a week. Then I'm home.

Where would dog eat?
 Kitchen.

Where would dog sleep:
 In a dog bed in my bedroom.

Play & exercise:
 Will go outside approximately 5 or more times a day. I would like to make play dates with other friend's well socialized and behaved dogs. I live next door to a very nice park, so I would take my Corgi there to walk and play.

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:
 Apartment on second floor

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?
 Yes

Description of yard:

 I live in an apartment and there is no swimming pool.

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?
 Laurie Bigelow

Willing to train children?
 I have 5 grandchildren who are very well behaved and love their dog, and he loves them.

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?

Are you willing to work on it if your new dog doesn’t get along with your current pets right away?
 Yes, but I don't plan on owning any other pets.

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}