Untitled_2589

Applicant IL
State: {Applicant State:2} Date of Application: 09/22/2019 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:
 Any age
Gender preferred:
 Male
Color preferred:
 Red & White, Any color
Activity level:
 Couch Potato, Outgoing, Quiet, Playful

Other preferences:
 I have a small 23 pound female terrier/ Papillion mix. They would need to get along of course.

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 & a playmate for my other pet.

Why do you want a Pembroke?
 My Male Corgi was adorable. I took him from a parent who had to move. I read about the breed when he passed and the things I loved like his silly looks, stubbornness, human like,, protective & watchful of me, he really was loyal. I miss his energy. Just chill. Oh and the butt!

Activities planned with Pembroke:
 Play with other dog, experiment with toys & puzzle games. Play in back fenced yard. Go fo walks & try out the dog park

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: 		Well first NO hitting of course. Stern voice correction and or positive reinforcement.

Discipline:
 Voice tone mostly. Hand signal, gentle pointing.. praise when right.

Where would Pembroke spend the majority of the time:
 Depending on weather. Inside in winter more. Summer walks and gardening out with me. Sleeping indoors.

Discipline:
 Voice tone mostly. Hand signal, gentle pointing.. praise when right.
Where would Pembroke spend the majority of the time: Depending on weather. Inside in winter more. Summer walks and gardening out with me. Sleeping indoors.

House dog or outside dog?

 House dog

People at home during the day?
 No. I live alone but not able to work currently. I run errands, gym etc…so I'm not gone all day.

Where would dog eat?
 In my kitchen.

Where would dog sleep:
 Hopefully in my bedroom, in bed or on the floor.

Play & exercise:
 Each day is different in my home. I have my other dog to play. I will have a variety of toys, training & games. I have a fenced backyard too & tru to walk minimum of 20 mins.

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?
 Part wall of home & garage. Part is 4 foot chain link type & 1 small section is 3 foot.

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:

 It is about 20 feet by 30. There a deck 8×10 and locked gate. Detached garage has a side door that goes from yard to garage. I want to get a small kiddie pool next year. My yard is fill of bird feeders and lots of shade and late morning early afternoon sun.

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?
 Myself

Willing to train children?
 NA

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 dont have personal experience. Only had 1 dog at a time but willing to go to classes or learn techniques online.

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}