Untitled_2534

Applicant IL
State: {Applicant State:2} Date of Application: 08/17/2019 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:
 Any age
Gender preferred:
 Either a Male or a Female
Color preferred:
 Any color
Activity level:
 Very Active

Other preferences:
 Must be good with other dogs and cats and be respectful of older animals.

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?
 The Pembroke Welsh Corgi has been my breed for 40 years, though I have had a couple of other wonderful heading breeds. Of the 6 Pems I have owned, one was bred by a friend, 4 have been rescues, and one is a well bred dog. I have previously adopted from the Lakeshore rescue. That dog is Corey, who is now 14 years old. He is the only dog of unknown parentage to ever have earned a VCX from the PWCCA. I love that Pems are quick learners and great partners, but also have a strong sense of self confidence.

Activities planned with Pembroke:
 I have competed with almost all of my dogs, including the rescues. We do obedience, rally, agility, herding, tracking, and nosework. We also enjoy walks around the neighborhood and at the local parks and arboretum. There is also ball play in the back yard and cuddling on the couch.

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: 		If caught in the act, usually a firm "no" is enough. If the infraction happened when I am not present, a correction when it is found, often much later, is not helpful. One just has to look for the behavior to be repeated, or better, avoided.

Discipline:
 Usually a no is enough, Established eye contact and attention. Redirect from unwanted activity.

Where would Pembroke spend the majority of the time:
 My dogs are almost always with me, whether I am at home, attending dog competitions, or at work. I am allowed to take my dogs to my place of employment, where I work 2 days a week.

Discipline:
 Usually a no is enough, Established eye contact and attention. Redirect from unwanted activity.
Where would Pembroke spend the majority of the time: My dogs are almost always with me, whether I am at home, attending dog competitions, or at work. I am allowed to take my dogs to my place of employment, where I work 2 days a week.

House dog or outside dog?

 House dog

People at home during the day?
 yes

Where would dog eat?
 My present dogs eat on opposite ends of the kitchen. A new dog would probably eat in the crate to begin with.

Where would dog sleep:
 My present dogs sleep in the bedroom with me, one on a bed on the floor, one in an open crate. A new dog would sleep in a crate in the bedroom to begin with.

Play & exercise:
 Ball/toy play and walks daily. Also training for obedience, herding, agility, and whatever activity is appropriate for the dog.

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?
 Privacy fence on 2 sides, borderline the neighbor.s yards. Good quality chain link on the other 2 sides.

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:

 Back yard is approximately 50 X 80 feet, boarded by privacy fence, chain link, the house, and the garage. Included in the yard are 1 large maple tree, some shrubbery, and agility equipment.

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?
 self

Willing to train children?
 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?

 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. I've had a lot of experience with this over the years with very few problems.

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}