Untitled_2337

State: {Applicant State:2} Date of Application: 04/12/2019 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:
0 months – 1 year (we rarely get dogs in this age group), 1 year – 3 years
Gender preferred:
Either a Male or a Female
Color preferred:
Any color
Activity level:
Outgoing, Playful, Energetic

Other preferences:
We are looking for someone who would love to play and be outside, love walks, and love to be spoiled!

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?

It would be a gift for my fiancé Makenzie. I would be trying to surprise her. We are looking for a forever friend that would be good with cats and one other dog. We are looking to expand our family and we are in love with the Corgi breed

Why do you want a Pembroke?
We love the look, they are beyond adorable and we have seen where they can be both energetic and a calm loving couch potato and we like the mixture of temperament. We have done some research but have never personally owned them, hoping to get our start with them.

Activities planned with Pembroke:
We would love to go on walks, play with toys, take them to the dog park, and just have an all around companion.

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:
Show them what they did wrong and why it was wrong.

Discipline:
For example using the rest room on the floor, I would take them to it, tell them no, and take them outside and say, “this is where you go potty.”


Where would Pembroke spend the majority of the time:
In the house with us. We do have a doggy door leading to a fenced in backyard for they to come and go as they please

Discipline:
For example using the rest room on the floor, I would take them to it, tell them no, and take them outside and say, “this is where you go potty.”
Where would Pembroke spend the majority of the time: In the house with us. We do have a doggy door leading to a fenced in backyard for they to come and go as they please

House dog or outside dog?

House dog

People at home during the day?
Yes. One of us is always here. Our schedules often overlap with one of us getting home as the other is leaving or shortly after

Where would dog eat?
In the kitchen where our other animals bowls are

Where would dog sleep:
Most likely in our room with us, we have pet beds in there however our current dog sleeps in bed with us most nights

Play & exercise:
They will have abundant opportunities both in and out of the house to get exercise, as we take our dogs with us whenever we leave besides going to work.

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?
Made of solid t-posts and mesh fence roll all the way around. Approximately 45ftx40ft

Living arrangements:
Rent/lease 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?
Yes, you may contact my landlord.

Lease allow dogs:
Yes, my lease permits dogs.

Landlord permission:
Yes, my landlord is fine with me owning a Pembroke

Restrictive covenants?
Not applicable

Breed/size restrictions?
No

Description of yard:

Just a plain fenced in back yard that the dogs are free to roam, no pools or other obstacles.

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?
Connor Golden and Makenzie Giese equally

Willing to train children?
Yes, we are willing to teach children to respect animals.

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, we are always willing to solve the problem and would never turn away an animal one they are taken into our family

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}