Untitled_2266

Applicant IL
State: {Applicant State:2} Date of Application: 02/28/2019 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:
 Any age
Gender preferred:
 Either a Male or a Female
Color preferred:
 Red & White, Any color
Activity level:
 Couch Potato, Outgoing, Quiet, Playful

Other preferences:
 Must get along with other dogs and especially cats – we have many! I would absolutely love a fluffy if one is in need of a forever home. I am 62 and retiring in 2 months and will have all day to hang out with my new 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?

 Myself. My entire adult life I have had to watch my 3 kids and husband choose their dog friends. Mostly living on a dirt road in the country, these have been drop offs and strays. Every time I think we can get another dog, one of my daughters brings one home, or a stray we can't say no to shows up. I have always loved the Corgi breed and always have wanted one. They seem to go along with farms, horses and barns. Right now, we only have one other dog so it is my time to jump on this! I have considered purchasing from a breeder but frankly with all of the dogs in shelters I kind of feel guilty about doing that. If there is a corgi out there who needs his forever home, please consider me!

Why do you want a Pembroke?
 I have read all about the breed. Why do I like them? I smile when I see one. They are tooo cute. They make me happy. Small with a big attitude.

Activities planned with Pembroke:
 trail ride with my horse. sit on couch and binge watch Netflix! Whatever we want – we will be retired.

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. If they pee or poop in the house, I would clap my hands and say NO in a firm voice and take them out. The best thing to do is get them on a schedule and STICK with it.

Discipline:
 Voice commands. A firm no usually suffices.

Where would Pembroke spend the majority of the time:
 With me. Either in the house or in the barn.

Discipline:
 Voice commands. A firm no usually suffices.
Where would Pembroke spend the majority of the time: With me. Either in the house or in the barn.

House dog or outside dog?

 House dog

People at home during the day?
 Yes. All the time. Both my husband and I will be retired.

Where would dog eat?
 all dog and cat food are kept in my back entry way. it has a tiled floor and that is where I keep their water and feed them.

Where would dog sleep:
 doggie beds in our bedroom, but if he's like some of our other dogs more than likely in our bed with us. King size – plenty of room to snuggle.

Play & exercise:
 Daily. Twice a day we would need to walk to the barn and clean and do chores. I have 12 acres, so not a problem.

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:

 Fenced in pasture. 12 acres. Sits way back off of the road. The road has very little traffic on it anyways but the dog would not ever be alone in the yard. I fear about coyotes and such.

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?
 NA

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}