Untitled_2480

State: {Applicant State:2} Date of Application: 07/12/2019 Referred by: Friend
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, 3 years – 5 years, 5 years – 10 years
Gender preferred:
Either a Male or a Female
Color preferred:
Any color
Activity level:
Couch Potato, Quiet, Playful, Energetic, Other (Please describe in the box below.)

Other preferences:
Other pets (2 cats and a dog) and children in the house. So he or she would have to be tolerable to both.

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 and my fiance.

Why do you want a Pembroke?
Theyre adorable, I like that they're closer to a larger breed in a little body, that they're a family dog. I like that they're intelligent and typically known to he easy going. The fact that they can be stubborn doesnt bother me. I will enjoy walking him or her at our river walk. I have interacted with them at work a bit (I'm a bather at a grooming salon), and an acquaintance friend has a corgi from your organizatio. His name is Hiro. I have done a bit of online research on the breed.

Activities planned with Pembroke:
Daily walking, playing with toys, he or she would be able to play with the other pets in the home. Plenty of cuddles and relaxing together. Grooming since I work in a salon he or she would get regular grooming done, nails, baths and brush outs.

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:
Gentle but firm reinforcement of the rule that was broken.

Discipline:
Water spray bottle, crate (for short time out), verbal commands


Where would Pembroke spend the majority of the time:
With me, my fiance, or a family member. Very little time in an appropriately sized kennel only when necessary.

Discipline:
Water spray bottle, crate (for short time out), verbal commands
Where would Pembroke spend the majority of the time: With me, my fiance, or a family member. Very little time in an appropriately sized kennel only when necessary.

House dog or outside dog?

House dog

People at home during the day?
Yes. Theres almost always someone home.

Where would dog eat?
His or her own bowls in our living space or in the kitchen.

Where would dog sleep:
In the same room with my fiance and I.

Play & exercise:
Daily walks and playing, doggie day campat my work (if they get along well with other dogs.

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:
Roomates/renting

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 live right off a river but there is a barricade up in front of the water and soon to have fencing around the yard as well.

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?
Kat Gates (myself)

Willing to train children?
Yes. The children in this home are good with animals as the household already has 1 dog and 2 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

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}