Untitled_2623

Applicant IL
State: {Applicant State:2} Date of Application: 10/19/2019 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
Gender preferred:
 Either a Male or a Female
Color preferred:
 Sable & White, Any color
Activity level:
 Couch Potato, Outgoing, Quiet, Playful

Other preferences:
 A nice dog that wants to be loved and spoiled. Our previous dog was very timid (was a rescue dog) and was a huge part of our family and went everywhere with us.

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?

 The family.

Why do you want a Pembroke?
 We rescued our previous Cardigan corgi who was 2 years old(?) when we got her. I/we love her and miss her. She was such a good dog and a wonderful addition to our family. I had a great experience with her breed. We had her for 7 wonderful years and 4 months. Yes I’ve done a lot of research on the breed. I know firsthand that they shed like crazy and they are herding dogs. Our Cardigan was not a barker.

Activities planned with Pembroke:
 Walking and typical playing, throwing balls.

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: 		Positive reinforcement, treats, consistency, routine

Discipline:
 Talking in a stricter voice and saying no. Consistent behavior to not confuse the dog as to what is expected of the dog. I never had trouble using this method with my previous 2 dogs. Positive reinforcement, treats and love.

Where would Pembroke spend the majority of the time:
 Probable the kitchen and family room where we spend our majority of the time. Run of the house. Dog beds scattered in different rooms.

Discipline:
 Talking in a stricter voice and saying no. Consistent behavior to not confuse the dog as to what is expected of the dog. I never had trouble using this method with my previous 2 dogs. Positive reinforcement, treats and love.
Where would Pembroke spend the majority of the time: Probable the kitchen and family room where we spend our majority of the time. Run of the house. Dog beds scattered in different rooms.

House dog or outside dog?

 House dog

People at home during the day?
 Yes. I am home.

Where would dog eat?
 The kitchen/eating area.

Where would dog sleep:
 Probably the family room or wherever the dog is comfortable.

Play & exercise:
 The corgi will get walked everyday. The longest walk will be at night for at least 50 minutes to 1 hour. My previous corgi loved it. Plus ball playing or stick throwing, chasing my son etc… I think it would all depend on the dog.

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:
 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:

 Our yard is fenced in (neighbors fence) on one side and a row of large evergreens on the other side acting like a fence and a bushes, trees and greenery on the other side.

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?
 Kathy Stavrou

Willing to train children?
 Yes My son (16) has had a dog since he was 8 years old and 6 gerbils. We have been volunteering at the animal rescue place by our house since our corgi died. We love animals.

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?

Are you willing to work on it if your new dog doesn’t get along with your current pets right away?
 N/A

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}