Untitled_2485

Applicant IL
State: {Applicant State:2} Date of Application: 07/14/2019 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, 3 years – 5 years
Gender preferred:
 Female
Color preferred:
 Sable & White
Activity level:
 Outgoing, Playful, Energetic

Other preferences:
 A note about my current situation. I lost my beloved Daisy Mae on July 3rd. She was a little over 12 years old. I absolutely adored her and am still grieving. I want to get another Corgi so I am getting in touch with you to be sure I don't miss the right one when she comes along. I look at adopting as a way we can help each other.

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?

 Me

Why do you want a Pembroke?
 I have been a Corgi owner for over 12 years until my Daisy's recent passing. I love everything about this breed. They are beautiful, loving, affectionate, smart and fun. I love that they are confident and vocal and like to express themselves!

Activities planned with Pembroke:
 She would basically be my constant companion. Activities would include walks, teaching her tricks and skills and practicing them, play, socializing with other nearby dogs and including her in my life whenever and wherever possible.

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: 		Very gently. I would work to show her what I wanted her to do and make it fun and rewarding. This has worked well for my with Daisy. I know Corgis want to learn and do well.

Discipline:
 I try to gently correct behaviors. I believe more in teaching and rewarding than stern discipline.

Where would Pembroke spend the majority of the time:
 With me at home or out to visit friends, go for rides and walks etc. I love being with my dog and try to spend as much time as possible with her.

Discipline:
 I try to gently correct behaviors. I believe more in teaching and rewarding than stern discipline.
Where would Pembroke spend the majority of the time: With me at home or out to visit friends, go for rides and walks etc. I love being with my dog and try to spend as much time as possible with her.

House dog or outside dog?

 House dog

People at home during the day?
 I am retired so I am generally home most of the time.

Where would dog eat?
 I have a place for her food and water bowls in the kitchen

Where would dog sleep:
 Hopefully on the bed with me. Otherwise anywhere in the house that she felt comfortable.

Play & exercise:
 She will get opportunities every day. I'll take her on daily walks as long as she wants to go (weather permitting). I can also play with her outside or inside. She will have plenty of room to run in the fenced in back yard.

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?
 5 foot high chain link. I have a nice big back yard.

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:

 Large fenced back yard with pine trees around the borders. Otherwise just nice green 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?
 Steven Carlson

Willing to train children?
 I do not have a child but would do this if I did

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?
 NA

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}