Untitled_2292

Applicant IL
State: {Applicant State:2} Date of Application: 03/16/2019 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
Gender preferred:
 Female
Color preferred:
 Red Headed Tri, Black Headed Tri, Sable & White
Activity level:
 Outgoing, 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?

 For me and my boyfriend.

Why do you want a Pembroke?
 I think a pembroke welsh corgi would be a wonderful addition to my home. This breed is known for it's cute, playful, and energetic behavior and I'm looking for a dog with those qualities. My boyfriend adopted our 2 year old pup from the humane society when she was a puppy and she is a sweetheart. We would like to bring a dog somewhere between 1 and 3 years old so that our pup will have a sister close in age with her. I've done my research on this breed and I do believe a corgi would be great for our small family.

Activities planned with Pembroke:
 The pup would go to obedience class to help with training. We would socialize her with our current pup and her other dog friends. I would take the two dogs on a 30 min. walk everyday to a park near our house. She would also go to dog park once a week.

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 she tore up something in the house, or played too rough, or ate food she shouldn't have, then I would bring her over to the mistake and point to it and tell her 'bad'.

Discipline:
 I would only tell her 'bad' when she does things wrong. I don't agree with spanking dogs and I think it's completely unnecessary.

Where would Pembroke spend the majority of the time:
 She would spend her time inside our home with me, my boyfriend, and our dog.

Discipline:
 I would only tell her 'bad' when she does things wrong. I don't agree with spanking dogs and I think it's completely unnecessary.
Where would Pembroke spend the majority of the time: She would spend her time inside our home with me, my boyfriend, and our dog.

House dog or outside dog?

 House dog

People at home during the day?
 The only people are me and my boyfriend.

Where would dog eat?
 She would eat blue buffalo wilderness dry dog food.

Where would dog sleep:
 She would sleep on my bed.

Play & exercise:
 She will get exercise with 30 min. daily walks and playing in the backyard.

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?
 5 ft. metal chain link fence that goes around entire backyard, entrance is a wooden door.

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:

 Our yard is about .3 acre with just grass, trees, bonfire pit, and deck.

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?
 Diana

Willing to train children?
 Yes of course. We will teach our future children that pets are friends that we take care of and love.

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}