Category Archives: Applicant IL

Untitled_4027

Applicant IL
State: {Applicant State:2} Date of Application: 11/09/2021 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
Gender preferred:
 Female
Color preferred:
 Red & White, Red Headed Tri, Black Headed Tri, Sable & White, Any color
Activity level:
 Couch Potato, Outgoing, Quiet, Playful, Energetic, Very Active

Other preferences:
 I would consider a male if I could introduce my dog to him first. My dog generally only likes other female dogs, but has liked other males on occasion.

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 myself and for my other dog, Frankie (male), to have a buddy

Why do you want a Pembroke?
 I have always wanted a corgi, but it is so hard to find one through a rescue and not a breeder. I would like to give a dog a second chance and adopt one rather than buy through a breeder. I have done my research and realize they can be energetic and herding animals, but also that they are very sweet, companion animals.

Activities planned with Pembroke:
 Daily walks, dog park, hikes, dog classes, etc. depending on the active level of the corgi.

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: 		Tell them no, redirect them to a healthy activity and reward them when doing good.

Discipline:
 I tell them no if they are doing something naughty, and give lots of treats and praise when they are doing something good.

Where would Pembroke spend the majority of the time:
 In my house with me. I am an online student so I spend most of my time at home with my dog. If it is nice we sit outside all day.

Discipline:
 I tell them no if they are doing something naughty, and give lots of treats and praise when they are doing something good.
Where would Pembroke spend the majority of the time: In my house with me. I am an online student so I spend most of my time at home with my dog. If it is nice we sit outside all day.

House dog or outside dog?

 House dog

People at home during the day?
 Yes, I am home all day doing online school/homework.

Where would dog eat?
 In the kitchen in my house.

Where would dog sleep:
 In my bed with me.

Play & exercise:
 I take my dogs on daily walks, frequent the dog park and hikes. My current dog loves to play so there are opportunities all day for playtime.

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 fully secured as I have another small dog who can slip through small areas. It surrounds the whole backyard.

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:

 My yard is fenced in and has no obstacles in it, besides a garden in the summer.

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?
 Autumn Carlson

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, I would slowly introduce them and keep them separate for a period of time if necessary.

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_4026

Applicant IL
State: {Applicant State:2} Date of Application: 11/09/2021 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:
 Couch Potato, Outgoing, Quiet, Playful, Energetic

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?

 Lisa, I love dogs…..Lost my last guy who was 12 in juen to DM

Why do you want a Pembroke?
 I love the breed, my last guy turned into couch potato at 1o and snuggled. Love how much personality is packed into tiny body. He was my walking companion.

Activities planned with Pembroke:
 Walk, play, cuddle

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? No

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: 		tell it no

Discipline:
 sit and talk say no

Where would Pembroke spend the majority of the time:
 in the house

Discipline:
 sit and talk say no
Where would Pembroke spend the majority of the time: in the house

House dog or outside dog?

 House dog

People at home during the day?
 yes

Where would dog eat?
 Whatever it is used to-my last corgi had violent diarehha when I tried any different food

Where would dog sleep:
 in the house

Play & exercise:
 Walk 2x daily and play with it

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:
 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:

 Live in trailer park, able to put up fencing as needed

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?
 Lisa

Willing to train children?
 yes, have a grandson

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_4025

Applicant IL
State: {Applicant State:2} Date of Application: 11/08/2021 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:
 0 months – 1 year (we rarely get dogs in this age group), 1 year – 3 years, 3 years – 5 years
Gender preferred:
 Female
Color preferred:
 Any color
Activity level:
 Couch Potato, Outgoing, Quiet, Playful, Energetic

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?

 Our family (Barb-61, Eric-53, Alyssa-22)

Why do you want a Pembroke?
 We currently have a PWC and would love to give her a sibling. We love their spunky personalities and how cute they are.

Activities planned with Pembroke:
 Day trips, hikes, daily trips to the park

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: 		If caught in the act, redirect and say uh-uh. If caught after the fact, nothing, they won't know what they are scolded for.

Discipline:
 Verbal cues 'uh-uh'.

Where would Pembroke spend the majority of the time:
 At home, one person is almost always home.

Discipline:
 Verbal cues 'uh-uh'.
Where would Pembroke spend the majority of the time: At home, one person is almost always home.

House dog or outside dog?

 House dog

People at home during the day?
 Yes, almost 24 hours a day

Where would dog eat?
 In the kitchen with our other corgi, if they were able to eat together, if not, in our den.

Where would dog sleep:
 Anywhere in the house, our corgi Kairi has beds throughout the house and can sleep with us in our beds. We also have crates if they prefer sleeping there.

Play & exercise:
 Twice daily walks (30-45 mins each), biweekly hiking trips in the local state park. Trips to the dog park. Have a leash zip line in our yard.

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:
 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:

 Flat grassy yard, fenced on two sizes, leash zipline connected from a large tree to the house exterior

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?
 Alyssa

Willing to train children?
 No children in the household

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_4024

Applicant IL
State: {Applicant State:2} Date of Application: 11/06/2021 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, 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:
 I foster dogs and understand that sometimes they are under a high level of stress when they come into a new home and they may need a lot of time to decompress. I also understand that not all dogs are housebroken and am willing to spend time training my new dog

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?

 companion dog for myself

Why do you want a Pembroke?
 a colleague of mine introduced me to her Corgi and I was in love. They are sweet, funny, packed with personality, and smart. i like that they are energetic but not known to be high strung. The size is perfect- low to the ground but not too small. i have purchased pets from breeders before, but as i have grown older, i have vowed to only adopt dogs from now on. i know that surrendered Corgis are hard to come by, so i will be patient. i am a foster dog volunteer and have yet to see one come through my group, so i though applying through a group dedicated solely to Corgis might be helpful. i have researched the breed, including personality, physical characteristics, and medical considerations and understand what is entailed in adopting one.

Activities planned with Pembroke:
 fetch/other forms of play
walks
snuggles

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: 		if my dog were to put their paws on a guest or paw my leg at the dinner table, i would use the sit and stay commands.

Discipline:
 if i caught my dog trying to urinate in the house, i call their name to stop them and say "potty outside" and then take him/her outside. then i use praise, treats, and consistent phrases to reinforce

Where would Pembroke spend the majority of the time:
 at home with me. I work from home so my dogs have free roam of the house (as long as they aren't in a puppy chewing phase). i keep a crate open for if my dogs or fosters want alone time. historically, i crate dogs at night if they need confinement due to accidents or chewing or if the dog prefers a crate. I crated my Dalmation (deceased) when I was out of the house because she had separation anxiety. i also crate dogs in the car for safety.

Discipline:
 if i caught my dog trying to urinate in the house, i call their name to stop them and say "potty outside" and then take him/her outside. then i use praise, treats, and consistent phrases to reinforce
Where would Pembroke spend the majority of the time: at home with me. I work from home so my dogs have free roam of the house (as long as they aren't in a puppy chewing phase). i keep a crate open for if my dogs or fosters want alone time. historically, i crate dogs at night if they need confinement due to accidents or chewing or if the dog prefers a crate. I crated my Dalmation (deceased) when I was out of the house because she had separation anxiety. i also crate dogs in the car for safety.

House dog or outside dog?

 House dog

People at home during the day?
 yes. I work from home

Where would dog eat?
 in the kitchen. if there were feeding issues i would feed in separate rooms. (i fostered a large beagle mix for 15+ months who was food aggressive. i fed him separately in my bathroom for safety)

Where would dog sleep:
 in my room either in a crate or a dog bed- whichever is the most appropriate

Play & exercise:
 provide toys and balls
play with Rocky (my shih tzu mix)
fetch
walks

the level of play and exercise really depends on the age and personality of the dog. if she's a busy body, then toys that are mind puzzles are best. if they like soft squeakies or hard rubbery toys, then that's what we'll pick.

a tired dog is a good dog, and a balance of play and affection are important


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:

 i have a 1/2 acre yard that is not fenced in on the sides or front. there is a back fence. i am working to have the rest fenced by fall of 2022. i do not take my dogs out without a leash. when i foster, i use a slip leash and a leash and collar or harness because i know that dogs in new situations are flight risks. my neighborhood is great for dog walking.

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?
 jen (me)

Willing to train children?
 my children are adults, and only Katie still lives at home. she is a college student who visits on some weekends and lives here during the summer. she is very kind to all animals

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. whenever i introduce a new foster, i section off an area of the house where the new dog can go to decompress. after a few days (if the new dog is comfortable), i let them see and sniff through a barrier. when everyone is comfortable, then i remove the barriers and introduce

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_4023

Applicant IL
State: {Applicant State:2} Date of Application: 11/06/2021 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:
 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:
 Male
Color preferred:
 Any color
Activity level:
 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?

 My husband, Aaron, and I , Melissa, are looking for a family member. The dog that joins our family will not have any expectations in terms of work. We hope to engage him in obedience/agility/herding as a way to stay well-exercised mentally and physically. Ideally, he will enjoy cuddling and relaxing, once his energy has been expended.

Why do you want a Pembroke?
 We have researched Pembrokes extensively, but do not have much experience with the breed yet. Through our research, we are looking forward to their intelligence. We look forward to training and working with the dog to keep it mentally healthy. My husband and I are very active with long walks and hiking. We would love to have an active dog that has the energy to join us!

Activities planned with Pembroke:
 We look forward to training and working with the dog to keep it mentally healthy. My husband and I are very active with long walks and hiking. We would love to have an active dog that has the energy to join us!

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: 		In working at the Evanston Animal Shelter, I have found the most success with redirecting the attention with a learned positive behavior that can then be rewarded.

Discipline:
 My first method to train through the behavior by redirecting the attention with a learned positive behavior that can then be rewarded. If the behavior attention seeking I will remove the attention by turning my back for a moment then offering a command they can follow to refocus.

Where would Pembroke spend the majority of the time:
 He would be spending most of his time in our condo. In our current residence, during the day, he would initially be limited to the kitchen area (tile floors) as he becomes house-trained we would expand his territory to include the living room and, eventually, the whole condo. Obviously, when we are home we hope to spend time with him.

Discipline:
 My first method to train through the behavior by redirecting the attention with a learned positive behavior that can then be rewarded. If the behavior attention seeking I will remove the attention by turning my back for a moment then offering a command they can follow to refocus.
Where would Pembroke spend the majority of the time: He would be spending most of his time in our condo. In our current residence, during the day, he would initially be limited to the kitchen area (tile floors) as he becomes house-trained we would expand his territory to include the living room and, eventually, the whole condo. Obviously, when we are home we hope to spend time with him.

House dog or outside dog?

 House dog

People at home during the day?
 We are not consistently at home during the day but are prepared to hire a dog walker when needed.

Where would dog eat?
 He would most likely eat in the kitchen. We are very open to using puzzle eating devices to keep his brain healthy.

Where would dog sleep:
 Our corgi would sleep in our bedroom on his own bed or crate (depending on how he is already trained )

Play & exercise:
 We currently live in a condominium that we own. There is limited yard space on the premises, but we live close to several parks and intend to go on frequent visits there. We already go on walks daily through town and love to hike on the weekends.

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?
 Yes

Description of yard:

 We 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?
 Melissa Himes

Willing to train children?
 We do not have any children at this time but will ensure all children that are around our corgi will understand how to engage with him.

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?
 Absolutely! He will be a part of the family and we will engage in any training or supports 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, marys@gmail.com, friend.:87}

Untitled_4022

Applicant IL
State: {Applicant State:2} Date of Application: 11/05/2021 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:
 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:
 Couch Potato, Outgoing, Quiet, Playful, Energetic

Other preferences:
 I had a half lab half corgi for 15 years. The love of my life, my best friend who gave me a love for corgis. A corgi would honor her.

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?
 My previous dog gave me an adoration for corgis.

Activities planned with Pembroke:
 Walk, swim, beach, hang out, play…

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: 		Have a teaching moment, loving but firm. Accidents happen.

Discipline:
 Obedience school, personal trainer if needed

Where would Pembroke spend the majority of the time:
 With me at home

Discipline:
 Obedience school, personal trainer if needed
Where would Pembroke spend the majority of the time: With me at home

House dog or outside dog?

 House dog

People at home during the day?
 No

Where would dog eat?
 What the vet recommends

Where would dog sleep:
 With me

Play & exercise:
 Play, walks, 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?
 6 feet, wood

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?
 Yes

Description of yard:

 Patio, with places on sides for a dog to go to the bathroom off leash.

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?
 Me

Willing to train children?
 N/A

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?
 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_4021

Applicant IL
State: {Applicant State:2} Date of Application: 11/05/2021 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:
 Couch Potato, Outgoing, Quiet, Playful, Energetic, Very Active, Other (Please describe in the box below.)

Other preferences:
 My only concern is temperament with another dog. I do not have any other cat or dog in my household, but my landlord has one downstairs and they may share a yard sometimes. His dog is very well tempered with other dogs, and I would like to be able to train mine to be the same if I need to.

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?

 I would be adopting for myself. I live in an adult home in a duplex upper, and am looking for a companion to offer me regular responsibilities at home. A Pembroke would be the ideal breed for me as I have a small vehicle, and would be able to carry it up and down staircases if ever necessary. I also have a very large yard for exercise and play outside of walks. Thank you very much for the opportunity

Why do you want a Pembroke?
 I've never had a dog smaller than a Husky (as a child and teenager), but I always preferred smaller dog breeds due to my physical strength. While this would be my first time having a dog as an adult, I would physically be able to manage it. Aside from aesthetics, Pembrokes always stuck out for me for their level of comfort in the home. They have a great balance of requiring attention and training, needing moderate exercise, and relaxation in the house during off-hours. I've visited older adults who have had them for long periods of time and were able to build a comfortable schedule relatively easily with them.

Activities planned with Pembroke:
 A guaranteed daily walk of at least 3 miles. This is a goal for myself either way, but a dog would also give me much more drive as well. I also plan on trying out higher energy activities in my yard with fetching toys in afternoons in lieu of a second walk.

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: 		I am very patient especially in the home. I understand that accidents may happen and that there is no need for punishment in training a dog. I would simply resolve the situation and try to guide the dog to avoid the repetition of the mistake slowly.

Discipline:
 I plan on trying a discipline based on inattention for bad behaviors and praise for good ones. The most I would actively do for discipline is separating the dog from the stimulus, and repeating this until they associate the negative behaviors with removal, and lack of negative behaviors with some praise. I understand this will be a long gradual process, but will slowly build up to repetitive good behaviors.

Where would Pembroke spend the majority of the time:
 I anticipate the Pembroke spending more time inside than outside for the first year until I can establish their comfort level in my yard with another dog. I will accompany them full time outside. We have a fenced yard, and I would like to reach a point to where I can trust them for some time alone outside to venture.

Discipline:
 I plan on trying a discipline based on inattention for bad behaviors and praise for good ones. The most I would actively do for discipline is separating the dog from the stimulus, and repeating this until they associate the negative behaviors with removal, and lack of negative behaviors with some praise. I understand this will be a long gradual process, but will slowly build up to repetitive good behaviors.
Where would Pembroke spend the majority of the time: I anticipate the Pembroke spending more time inside than outside for the first year until I can establish their comfort level in my yard with another dog. I will accompany them full time outside. We have a fenced yard, and I would like to reach a point to where I can trust them for some time alone outside to venture.

House dog or outside dog?

 House dog

People at home during the day?
 Yes, I work seasonally so over the full fall/winter months I'm at home almost all the time doing freelance work on my computer. I also have 2 adult roommates that have different schedules, so someone is almost always home regardless.

Where would dog eat?
 I would designate a spot indoors in the kitchen for food, and would provide both indoor and outdoor sources for water.

Where would dog sleep:
 Definitely indoors. I don't plan on kenneling, so my initial idea is wherever they find suitable in the house.

Play & exercise:
 I plan on doing at least a 3 mile walk a day early. I also plan on either doing a second walk later in the afternoon, or some higher intensity games in our yard with toys.

How will you exercise your dog?
 On leash

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?
 Corrugated steel chain link with plastic slats, about 6 feet tall. It surrounds almost the entire yard except for the driveway leading in, which will have a gate attached soon.

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?
 Not applicable

Breed/size restrictions?
 No

Description of yard:

 The property is about 1 acre including structures (2 garages, and house), half of which being empty land. We have a designated bonfire pit and wood pile, and several cars on the property and the rest is vacant.

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?
 Michael Couillard

Willing to train children?
 Yes, but I do not anticipate having a child at the home.

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. Most of the time the dog will not be interacting with another dog or cat, and I can closely monitor its behaviors toward my landlord's dog while I am accompanying it.

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_4020

Applicant IL
State: {Applicant State:2} Date of Application: 11/02/2021 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:
 Any age
Gender preferred:
 Either a Male or a Female
Color preferred:
 Any color
Activity level:
 Couch Potato, Outgoing, Quiet, 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

Why do you want a Pembroke?
 We have been looking to add a dog to our home and already having a corgi, we’d think a rescue would be a great fit. We love the breed….they are smart, full of charcoals the perfect aized dog for us!

Activities planned with Pembroke:
 Walks, hiking, vacations, outdoor play

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: 		Correction through reinforcement

Discipline:
 Stop them in the act….redirection

Where would Pembroke spend the majority of the time:
 Home with family

Discipline:
 Stop them in the act….redirection
Where would Pembroke spend the majority of the time: Home with family

House dog or outside dog?

 House dog

People at home during the day?
 Yes

Where would dog eat?
 Kitchen area

Where would dog sleep:
 Crate

Play & exercise:
 We have a fenced in yard and I work from home

How will you exercise your dog?
 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?
 6ft tall vinyl 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:

 Secured above ground pool (gate access only)
Large yard with grass

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?
 Ryane Mauller

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_4019

Applicant IL
State: {Applicant State:2} Date of Application: 11/03/2021 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:
 0 months – 1 year (we rarely get dogs in this age group), 1 year – 3 years
Gender preferred:
 Male
Color preferred:
 Any color
Activity level:
 Couch Potato, Outgoing, Quiet, Playful, Energetic

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 family

Why do you want a Pembroke?
 We are looking for a smaller dog to fit in with our family. My daughter thinks Corgis are the cutest thing on the planet, so that’s why we’re interested in adopting one. I’ve looked online and believe that a corgi would blend right in with our family. I think they have the right temperament to get along with my other dogs.

Activities planned with Pembroke:
 Go for walks and car rides, play fetch, take hikes along nearby trails, and just let him outside in our yard to play with the other dogs. Perhaps a dog park every now and then.

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: 		If I were to catch him in the act then I would stop him and correct him immediately. Otherwise I would tell him no in a firm voice as long as not too much time has passed afterwards. If too much time has passed then I would just let it go and watch for the next time.

Discipline:
 I use a loud firm “no” most often, and reward good behavior with treats and praise. If he were to do something wrong I would keep from acknowledging him for a few minutes. Also, a noisy distraction can be useful in some instances as well.

Where would Pembroke spend the majority of the time:
 At home with my family

Discipline:
 I use a loud firm “no” most often, and reward good behavior with treats and praise. If he were to do something wrong I would keep from acknowledging him for a few minutes. Also, a noisy distraction can be useful in some instances as well.
Where would Pembroke spend the majority of the time: At home with my family

House dog or outside dog?

 House dog

People at home during the day?
 Yes, most of the time

Where would dog eat?
 In the kitchen with our other dogs

Where would dog sleep:
 Wherever he wants except in bed with me

Play & exercise:
 I can let him out during the day and he could run around the yard and play with the other dogs. My daughter likes to go on walks so we would take him pretty much on a daily basis.

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?
 4 foot high cedar fence with tightly spaced pickets

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:

 Good size yard with plenty of room to run. There is a large deck off the back of the house and a trampoline on one side of the 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?
 Meghan

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?
 Absolutely

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_4018

Applicant IL
State: {Applicant State:2} Date of Application: 11/03/2021 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:
 0 months – 1 year (we rarely get dogs in this age group), 1 year – 3 years
Gender preferred:
 Male
Color preferred:
 Any color
Activity level:
 Couch Potato, Outgoing, Quiet, Playful, Energetic

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 family

Why do you want a Pembroke?
 We are looking for a smaller dog to fit in with our family. My daughter thinks Corgis are the cutest thing on the planet, so that’s why we’re interested in adopting one. I’ve looked online and believe that a corgi would blend right in with our family. I think they have the right temperament to get along with my other dogs.

Activities planned with Pembroke:
 Go for walks and car rides, play fetch, take hikes along nearby trails, and just let him outside in our yard to play with the other dogs. Perhaps a dog park every now and then.

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: 		If I were to catch him in the act then I would stop him and correct him immediately. Otherwise I would tell him no in a firm voice as long as not too much time has passed afterwards. If too much time has passed then I would just let it go and watch for the next time.

Discipline:
 I use a loud firm “no” most often, and reward good behavior with treats and praise. If he were to do something wrong I would keep from acknowledging him for a few minutes. Also, a noisy distraction can be useful in some instances as well.

Where would Pembroke spend the majority of the time:
 At home with my family

Discipline:
 I use a loud firm “no” most often, and reward good behavior with treats and praise. If he were to do something wrong I would keep from acknowledging him for a few minutes. Also, a noisy distraction can be useful in some instances as well.
Where would Pembroke spend the majority of the time: At home with my family

House dog or outside dog?

 House dog

People at home during the day?
 Yes, most of the time

Where would dog eat?
 In the kitchen with our other dogs

Where would dog sleep:
 Wherever he wants except in bed with me

Play & exercise:
 I can let him out during the day and he could run around the yard and play with the other dogs. My daughter likes to go on walks so we would take him pretty much on a daily basis.

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?
 4 foot high cedar fence with tightly spaced pickets

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:

 Good size yard with plenty of room to run. There is a large deck off the back of the house and a trampoline on one side of the 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?
 Meghan

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?
 Absolutely

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}