Untitled_2287

Applicant IL
State: {Applicant State:2} Date of Application: 03/12/2019 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:
 Any age
Gender preferred:
 Either a Male or a Female
Color preferred:
 Red & White, Red Headed Tri, Black Headed Tri
Activity level:
 Couch Potato, Outgoing, Quiet, Playful, Energetic

Other preferences:
 May occasionally be left home alone (once trained) for 10 hours when our work schedules require so the dog should be able to amuse itself without being destructive to the house.

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?

 John and Dawn, young adult children

Why do you want a Pembroke?
 We adopted our first corgi in 1994 and have had three over the last 25 years. Our most recent died in Oct 2018. We enjoy their desire for human companionship, willingness to do whatever the family is up to, their curiosity and happy temperament.

Activities planned with Pembroke:
 Long walks daily morning and afternoon for exercise. Traveling in the car to accompany on errands. Companionship around the house and while gardening. Basic obedience training and possibly rally training.

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 'wrong' and use training treats to teach the proper behavior.

Discipline:
 Positive training rewards with food. Prong collar for particularly headstrong dogs in training. Crate training.

Where would Pembroke spend the majority of the time:
 Would have the run of the house. Crates in the kitchen and bedroom. Floor pillows nearby windows and family room. Not allowed on the furniture. Outside only on leash and supervised by humans while gardening.

Discipline:
 Positive training rewards with food. Prong collar for particularly headstrong dogs in training. Crate training.
Where would Pembroke spend the majority of the time: Would have the run of the house. Crates in the kitchen and bedroom. Floor pillows nearby windows and family room. Not allowed on the furniture. Outside only on leash and supervised by humans while gardening.

House dog or outside dog?

 House dog

People at home during the day?
 Most days but occasionally may need to be left alone up to 10 hours.

Where would dog eat?
 Kitchen after the family eats. Crate in the kitchen.

Where would dog sleep:
 Bedroom on floor pillow or crate depending on dog's behavior.

Play & exercise:
 Two long walks daily. Out in the car with family. Toys to play with.

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:

 Ranch with walkout basement. Suburban property. Front and back yard with property ringed by a wooded area. Back yard 8×16 goldfish pond with fountain. Enclosed deck off the living room our other corgis have loved to watch the world from.

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?
 Dawn

Willing to train children?
 yes. We do not have small children but many of our neighbors do. The dog should be willing to 'meet and greet' youngsters.

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}