Untitled_2258

Applicant IL
State: {Applicant State:2} Date of Application: 02/24/2019 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:
 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:
 Friendly to children and other dogs.

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?

 Retired couple who have always loved and cared for dogs for over 46 years. Recently lost our West Highland Terrier named Dublin. Live in a Del Webb Shorewood Glen over 55 community with many walking trails. Will provide love and security for all needs of the Corgi. We have a granddaughter 8 years old who has a Portuguese Water Dog and a son with a Shepard mix rescue. Both of our children have large yards and love and respect dogs. This would be our first rescue but due to our age a perfect fit. Many in our community have been satisfied with this choice.

Why do you want a Pembroke?
 Being brought up in Chicago yearly attended the dog show. That was where I was first introduced to the breed and was one of my favorite. Being Irish ☘️ and a bit of English family members were owners so I interacted frequently with breed. Always love look and temperament. I do know of one owner in my area. My first dog as a child was a Collie female named Lassie. My brother and uncle had Shelties. After marriage we had two Westie’s and German Shepard, Belgium Sheep dog, and Golden Retriever.

Activities planned with Pembroke:
 Walking, traveling by car. Both of our children live within 5 minutes of my location. We each board our dogs at our homes. So dogs are comfortable at each home.

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: 		Firm No, No, No.

Discipline:
 Coins in a pop can or squart with water to get there attention. Most times dogs are with me. Only alone for short intervals.

Where would Pembroke spend the majority of the time:
 With my husband or I as well as family members. Our dogs are part of our family. They sleep with me I love to snuggle.

Discipline:
 Coins in a pop can or squart with water to get there attention. Most times dogs are with me. Only alone for short intervals.
Where would Pembroke spend the majority of the time: With my husband or I as well as family members. Our dogs are part of our family. They sleep with me I love to snuggle.

House dog or outside dog?

 House dog

People at home during the day?
 Yes we are retired.

Where would dog eat?
 We had our Westie on Halo senior mix of kibble and canned.

Where would dog sleep:
 With me in bed.

Play & exercise:
 I am not a sitter so many walks and toys. I also interact frequently with my kids dogs.

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:

 Small yard with adjoining neighbors to side and back of home. Electric fence is available but never used. Large dog community with dog lovers.

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?
 Marge

Willing to train children?
 Granddaughter has family dog.

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?
 Birds are in cage. Large cage in sunroom.

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}