Untitled_2558

Applicant IL
State: {Applicant State:2} Date of Application: 08/30/2019 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:
 1 year – 3 years, 3 years – 5 years, 5 years – 10 years
Gender preferred:
 Female
Color preferred:
 Any color
Activity level:
 Couch Potato, Outgoing, Quiet, Playful

Other preferences:
 I am almost 70 years old, dont want too high energy dog.

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?

 This Pembroke will be a companion to my Doogie, Bassett/Cocker/lab mix,; 4 yrs old; about 50lbs…very sweet, maybe not so smart, black bassett with very very short, bowl legs, ; alabama rescue; cut off tail. I adopted Doogie three years ago as a companion to my rottweiler. I had to put my rottie, Lilly, down three months ago for bone cancer. It has been tough as they loved each other. Doogie is very affectionate. I am thinking that a corgi would be a good buddy…female…adult or whatever you would recommend. Cannot afford high price..am hoping for a rescue. I have a nice home in Neenah, WI; fenced in back yard with six foot cedar fence…landscaped, so lots of fun chasing paths for the two dogs. Hoping you can help me. Cathy Locke; 920-729-9591; I am home full time, and almost retired. need a medium energy dog if possible. they will play together

Why do you want a Pembroke?
 I know little…except they are adorable and seem to have the mix of personality and size that I am seeking for a friend for my Doogie.

Activities planned with Pembroke:
 Not very exciting…I am home all day, working during the day. Doogie and my Pembroke would be best friends and sleep together or play or chase outside and try to catch rabbits or chipmonks or whatever great adventure they would have. They would have the run of my house; rawhide bones to chew; toys to play with….and we all cuddle together at night in bed. Not exciting but a loving home to have.

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 tell her, no, and take she and Doogie right outside. and then clean it up. Doogie learned quickly from Lilly and does not ever make a mistake.

Discipline:
 No. Off. I do my best. I have trouble with Doogie and jumping on visitors. I am not the strongest leader but I do keep to a routine and praise their success.

Where would Pembroke spend the majority of the time:
 At home here in my home. Doogie and Lilly sleep on a day bed in my office during the day…unless we are outside in my back yard playing etc. Evening in my den, with TV . They will have the run of my house. I have a two bedroom ranch, spacious, 1800 sq ft. with large fenced in, back yard and garden. Can send videos.

Discipline:
 No. Off. I do my best. I have trouble with Doogie and jumping on visitors. I am not the strongest leader but I do keep to a routine and praise their success.
Where would Pembroke spend the majority of the time: At home here in my home. Doogie and Lilly sleep on a day bed in my office during the day…unless we are outside in my back yard playing etc. Evening in my den, with TV . They will have the run of my house. I have a two bedroom ranch, spacious, 1800 sq ft. with large fenced in, back yard and garden. Can send videos.

House dog or outside dog?

 House dog

People at home during the day?
 yes. i am

Where would dog eat?
 Each dog has his or her set of dishes in the kitchen. Doogie has two meals a day..breakfast and dinner…at 645am and at 5pm.

Where would dog sleep:
 with doogie and I in my queen sized bed.

Play & exercise:
 She and Doogie will be outside to run and play : our current schedule: early morning 630am; 8am; then 10am or so, mid morning; noon; 2 or 3pm; 4pm; after dinner; 8pm ;; 10pm and bed.

they will play with toys, usually when we are togehter in the evening. I give a rawhide for dessert after breakfast. To enjoy for the day/


How will you exercise your dog?
 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?
 I have a six foot cedar fence around my entire back yard. I can send photos and videos

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:

 My yard is fully fenced in with high, six foot cedar fence. It is nicely landscaped with patio, pergola, gardens, trees, bushes, mulched garden. Great paths run throughout that the dogs run and chase each other or explore. I am always out with them.

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?
 Cathy Locke

Willing to train children?
 no children. If the two neighbor boys come..they are very thoughtful and love the dogs.

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. But I do want them to meet before hand and get a good sniff and some happy time together.

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}