Untitled_2444

Applicant IL
State: {Applicant State:2} Date of Application: 06/24/2019 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, 3 years – 5 years, 5 years – 10 years
Gender preferred:
 Either a Male or a Female
Color preferred:
 Any color
Activity level:
 Couch Potato, Outgoing, Quiet, 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?

 Myself

Why do you want a Pembroke?
 I love the personality and size of the Corgi, it's a lot of dog in a little package. I am 55 and have always had dogs. My husband passed away 5 years ago and the last of my three dogs that we had passed away this March. I didn't realize how much I missed the sound of nails clicking on the floor, and walks.

Activities planned with Pembroke:
 I have a good sized fenced backyard so we can play there as well as hang out in the hammock and relax. We can go for walks, and if possible depending on the dogs personality maybe do some continued training to keep the mind sharp and help with energy level, depending on age of dog. Go for drives in the car, whatever he or she enjoys doing.

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: 		Repeat the instruction and give praise when the dog shows that's it making the effort. Always end a training session on a good note

Discipline:
 Depends on the dog and what works to get their attention. Some of my dogs have responded better to a snap of the finger to get their focus, others only require a stern tone, one of my rescue dogs responded to a clicker.

Where would Pembroke spend the majority of the time:
 With me in my home. If I'm not home, he or she can have full access to the house.bor if they are shy I will provide an open crate for them to have a place to go to. Every dog is different, some like to stay in a small area, some like their crate for resting while I'm gone and others take over the couch.

Discipline:
 Depends on the dog and what works to get their attention. Some of my dogs have responded better to a snap of the finger to get their focus, others only require a stern tone, one of my rescue dogs responded to a clicker.
Where would Pembroke spend the majority of the time: With me in my home. If I'm not home, he or she can have full access to the house.bor if they are shy I will provide an open crate for them to have a place to go to. Every dog is different, some like to stay in a small area, some like their crate for resting while I'm gone and others take over the couch.

House dog or outside dog?

 House dog

People at home during the day?
 No, I am a widow. I go home for lunch every day.

Where would dog eat?
 In the kitchen

Where would dog sleep:
 That's up to the dog, on my bed or on the floor next to my bed, or in their crate, for example.

Play & exercise:
 Walks every day, play time in backyard.

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?
 Wooden privacy 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:

 No pools, just trees and grass

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?
 Kelly Stader

Willing to train children?
 I have no children

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?
 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}