Untitled_2319

State: {Applicant State:2} Date of Application: 03/31/2019 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:
3 years – 5 years, 5 years – 10 years
Gender preferred:
Either a Male or a Female
Color preferred:
Any color
Activity level:
Other (Please describe in the box below.)

Other preferences:
Good with other dogs, as we live in a neighborhood. And good with children, as we have grandchildren. They live out of state, but i dont want to worry about any aggression towards children. I know the herding instinct is strong so I would instruct the kids not to run unless they want to be nipped on the heel! I would like a corgi that likes to ride in the car. And has a clean bill of health.

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?

Pembroke is for me.

Why do you want a Pembroke?
I do love the breed, the look, the personality. We lost our 14 year old red and white pembroke in November. I miss her. She was a little bossy, super sweet with people. Her loud bark startled small kids, but she was very good with them. She was a constant companion. Her fur blow outs were a challenge, but she always looked great after grooming! She loved to take walks and play. Corgi crazies took over twice a day, when we would play with toys or do our obstacle play.

Activities planned with Pembroke:
We would go for daily walks, play with toys and generally hang out throught the day.

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:
I guess it depends on the mistake. A loud clap to disrupt getting into something.

Discipline:
I don't believe in disciplining…better to praise good behavior.


Where would Pembroke spend the majority of the time:
With me, either inside or out.

Discipline:
I don't believe in disciplining…better to praise good behavior.
Where would Pembroke spend the majority of the time: With me, either inside or out.

House dog or outside dog?

House dog

People at home during the day?
Yes, my husband and I are retired and my elderly father will sometimes be with us.

Where would dog eat?
In the kitchen.

Where would dog sleep:
Probably in our bedroom. But we would have dog beds in different rooms throughout the house.

Play & exercise:
Corgis pretty much tell you when they want to play and typically we have always walked our dogs twice a day. We will have toys for playing and I'd love to set up weave poles and obstacle courses for play time, and maybe at a dog park if I know the other dogs.

How will you exercise your dog?
Both on leash and restrained to the yard

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?
Its a three foot high wire fence through a wooded back yard.

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:

The yard is fenced in the back of the house. It is wooded and rocky in a private community.

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?
Wendy and Bob

Willing to train children?
Our children are grown. Our grand children won't need to care for our dog but they will be taught how to treat and behave around our dog with respect and kindness.

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?
I don't forsee us having more than one pet at this time, but if that should happen, of course we would work to resolve any problems.

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}