Untitled_2445

Applicant IL
State: {Applicant State:2} Date of Application: 06/24/2019 Referred by: Other
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)
Gender preferred:
 Male
Color preferred:
 Any color
Activity level:
 Other (Please describe in the box below.)

Other preferences:
 We have a Maine coon and an American Staffordshire Terrier. I really am just looking for another member to add to my family.

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’d really like to own one because of their personalities. I love the size of them and I love the hair. I want a dog that has some fur I can pet. I don’t really have any experience with the breed. I have done some research on them and think it would be a good fit for my family.

Activities planned with Pembroke:
 I’d play in the backyard with the Pembroke, take walks, go for car rides, and just love the heck out of it.

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 would correct the behavior. I’ve learned that mistakes happen but dogs are easily trained with persistence, consistency and patience.

Discipline:
 I honestly talk to my dogs like people. A good talking to and positive reinforcement have worked well for me.

Where would Pembroke spend the majority of the time:
 The puppy would spend most of the time with me.

Discipline:
 I honestly talk to my dogs like people. A good talking to and positive reinforcement have worked well for me.
Where would Pembroke spend the majority of the time: The puppy would spend most of the time with me.

House dog or outside dog?

 House dog

People at home during the day?
 We are usually away from home for at most 7 hours a day.

Where would dog eat?
 Our corgi would eat in the kitchen.

Where would dog sleep:
 He would most likely sleep where he is comfortable, whether that be my bed or the floor. I’m definitely a co-sleeper.

Play & exercise:
 We have a fenced in back yard. I love to take our current dog outside to play fetch, bask in the sun, and even play in the doggie(kiddie) pool. We also do walks around our subdivision. We typically do at least an hour a day.

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?
 We have an 8 foot high wooden fence. It has two gates but it keeps our current and past dog in the yard no issues.

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:

 We have a unground fire pit in the back yard but nothing else. It is very open.

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?
 Samantha

Willing to train children?
 Absolutely, this is so important to me. I’ve seen some crazy things happen and I think it’s very important to teach kids at a young age how 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?
 Yea

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}