Untitled_2349

Applicant IL
State: {Applicant State:2} Date of Application: 04/19/2019 Referred by: Breeder
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:
 Female
Color preferred:
 Any color
Activity level:
 Couch Potato, Outgoing, Quiet, Playful, Energetic, Very Active

Other preferences:

Previous dog owner?
 No
 
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?

 Myself

Why do you want a Pembroke?
 I'm personally looking for a dog that is going to stick by my side no matter what. I had this with my beagle until she passed and I saw a lot of physical similarities between them. I have hung around corgis here and there, but never owned one myself. I love the active and very affectionate lifestyle they require. I need a dog that is going to be able to keep up with me and still let me love them at the same time. Their adorable floof and sploots are just a bonus.

Activities planned with Pembroke:
 I want to go on tons of walks, runs, and adventures with my Pembroke. I want a dog that will not tire easily as I love to go on hikes and just walk long distances. I want a smaller yet still active dog to make these adventures more fun.

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: 		For potty mistakes, I would just ignore the mistake and reward greatly when she does what I wanted. I would ignore any self rewarding behavior as it worked for my beagle .

Discipline:
 With my beagle, I would either take away her toys or place her in a quiet room, such as the bathroom, for 15 minutes.

Where would Pembroke spend the majority of the time:
 Most of the time she would be with me on my runs and trips. When she isn't, she would be at my home with my mother and father as I live with them.

Discipline:
 With my beagle, I would either take away her toys or place her in a quiet room, such as the bathroom, for 15 minutes.
Where would Pembroke spend the majority of the time: Most of the time she would be with me on my runs and trips. When she isn't, she would be at my home with my mother and father as I live with them.

House dog or outside dog?

 House dog

People at home during the day?
 Yes

Where would dog eat?
 Her setup is across the dining room in an area of the room.

Where would dog sleep:
 Either with me in my bed or in her bed in my bedroom floor is not her crate. Whatever she prefers but several options are available.

Play & exercise:
 I would bring her to dog parks if she has all her shots and play with the local dogs. I also would play in my backyard as there is a field right behind my house. 

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

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:
 owned home but still live with parents

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?
 No, the condo covenants do not prevent me from having a dog.

Breed/size restrictions?
 No

Description of yard:

 We have a playground set but no pools.

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?
 Myself, Samantha Ellard

Willing to train children?
 Yes. Alison has been exposed to animals since birth so she already knows how to handle and treat animals, especially dogs and cats.

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, I will do everything in my power to resolve and diffuse the situation.

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}