Untitled_2340

Applicant IL
State: {Applicant State:2} Date of Application: 04/13/2019 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:
 Either a Male or a Female
Color preferred:
 Any color
Activity level:
 Outgoing, Playful

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?

 It is for the both of us as a couple.

Why do you want a Pembroke?
 We have done research on corgis and we’re in love with them. They’re the perfect size dog to take on road trips and to be able to take them out. They’re a good family dog and we hear that they are intelligent and listen to commands well.

Activities planned with Pembroke:
 Walks, teaching new tricks, fetch, going to the park, snuggling, and being on the road here and there.

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?

 No

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: 		We would sternly correct it and then put it in it’s cage like a toddler having time out.

Discipline:
 No treats, stern voice, “no! Bad,” and kennel time.

Where would Pembroke spend the majority of the time:
 It would have a good amount of time outside playing with us then come inside and chill. A walk before the end of the day and then time for chill time for the rest of the day. When we’re out on the road for trips we will take more breaks so we can have potty breaks and fun outside time.

Discipline:
 No treats, stern voice, “no! Bad,” and kennel time.
Where would Pembroke spend the majority of the time: It would have a good amount of time outside playing with us then come inside and chill. A walk before the end of the day and then time for chill time for the rest of the day. When we’re out on the road for trips we will take more breaks so we can have potty breaks and fun outside time.

House dog or outside dog?

 House dog

People at home during the day?
 Yes, Brandi doesn’t work too many hours within a week. Maybe two days out of the week it’ll have to be caged but even then when she gets home she’ll let it out and have some outside time.

Where would dog eat?
 When we have our meals it’ll have their meals at the same time so we can get it on a set schedule. So their dishes would be visible by the dining area.

Where would dog sleep:
 In it’s own cage with its bed in our room, so if it has to go potty we can hear it and get up.

Play & exercise:
 We have a very decent sized yard that’s fenced and it can run around. We love spending time outdoors so we’ll definitely play fetch and teach it new things. Chase and run around with a good game of tag. About an hour maybe more we’ll be outdoors to have a good play time.

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?
 It’s a high 6-7 feet tall picket fence.

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:

 There’s nothing in our yard besides the porch, a tool shed, and porch swing. Nothing too concerning that our dog could get into.

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?
 Brandi Rice

Willing to train children?
 We don’t have kids but we do have nieces that visit often and yes we will tell them to be nice to our dog.

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, Lucy can sometimes be selfish towards most things that breathe so we will teach her to get along with our new dog.

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}