Untitled_2476

State: {Applicant State:2} Date of Application: 07/10/2019 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:
Couch Potato, Outgoing, Quiet, Playful, Energetic, Very Active

Other preferences:
We have 2 cats and my mother has a Yorkie who is almost 12 and not expected to be around for a long time

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?

We just moved into a new home with our children ages 16 & 11 and are looking cor a Corgi to adopt

Why do you want a Pembroke?
Vince fell in love with them watching dog shows, I fell in love with them on Instagram. When we have been out and about we have interacted with many Corgis and just love their personality.

Activities planned with Pembroke:
We are an active family. Hiking, swimming, snuggling. We would take him/her with us to festivals, daily walks

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:
Redirection, rewarding good behavior

Discipline:
Put outside


Where would Pembroke spend the majority of the time:
Roaming the home and outside with the family weather permitting

Discipline:
Put outside
Where would Pembroke spend the majority of the time: Roaming the home and outside with the family weather permitting

House dog or outside dog?

House dog

People at home during the day?
My mother

Where would dog eat?
My mom buys this super expensive dog food that needs to go in the freezer. It has veggies and meat, I dont know the name but the dog would likely eat that.

Where would dog sleep:
In my bedroom, in a doggie bed….not in my bed

Play & exercise:
A few hours a day probably, like I said we are active and Vince will go for walks sometimes twice daily

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?
Back yard chain link

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

Breed/size restrictions?
No

Description of yard:

front and side yard no fence, back yard fenced with deck

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?
Vince & Stacey

Willing to train children?
yes, they know and have had pets

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, always

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}