Untitled_2244

Applicant IL
State: {Applicant State:2} Date of Application: 02/06/2019 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:
 Male
Color preferred:
 Any color
Activity level:
 Outgoing, Quiet, Playful, Energetic

Other preferences:
 Neutered

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 would be a family member for the both of us

Why do you want a Pembroke?
 We have been doing lots of research on breeds to find a family member to match our temperaments, household style, activity level, commitment to care and involvement. We love the size, as we don't want a really small breed, but we don't want a large breed either, We are moderately active and walk 3-5 miles daily and love to be outdoors. We have a single family home and a nice sized lot in town. We also like the playful and trainable temperament aspect of the breed, as well as the fact this breed would be just as comfortable curling up between us on the couch on a cold Minnesota winter day.

Activities planned with Pembroke:
 We will take him for walks and play in the yard, as well as take him on day trips and camping. Fetch is definitely on the agenda as well as a good tug-of-war.
We like to garden and bike ride and would always take him with 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?

 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: 		Show him how we want him to handle or do something and reinforce the behavior with praise and special time

Discipline:
 NO yelling. When he displays negative behavior, show him how we want him to act and praise that behavior. All dogs need to have an alpha figure to follow. They will try to please that alpha and follow by praised behavior.

Where would Pembroke spend the majority of the time:
 In our home with us.

Discipline:
 NO yelling. When he displays negative behavior, show him how we want him to act and praise that behavior. All dogs need to have an alpha figure to follow. They will try to please that alpha and follow by praised behavior.
Where would Pembroke spend the majority of the time: In our home with us.

House dog or outside dog?

 House dog

People at home during the day?
 We both work full time, but I come home daily for lunch.

Where would dog eat?
 In the kitchen/dining area on a doggie mat for his own bowls

Where would dog sleep:
 In a doggie bed on the floor of our bedroom

Play & exercise:
 Outside play time at least twice a day.

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:

 We live in a single family home in town with a patio, sizable lot and no 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?
 Jackie Braun and Matt Butala

Willing to train children?
 We don't have children in the home, but we have grown children and a few grandchildren that already have dogs in their homes

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?
 Not applicable

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}