Untitled_2639

Applicant IL
State: {Applicant State:2} Date of Application: 10/24/2019 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:
 Either a Male or a Female
Color preferred:
 Any color
Activity level:
 Outgoing, Quiet, Playful, Energetic, Very Active

Other preferences:

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 is a pet for us as a new member to our family

Why do you want a Pembroke?
 We love the breed. They are smart, they are the perfect size, they are often active and lively, and they are so lovable.

We had a PWC named Coda from 2011 to 2018 (degenerative disease in his spinal column which we treated to relieve pain as long as we could). He was a 5 year old rescue when we adopted him. He was a natural in obedience training and he really liked having a job. Between the obedience training and herding a basketball around the backyard, he thrived and got the mental and physical activity that he needed. If he was not exercised enough or properly, he would lick a spot on his paw raw and would bark at the wind.
We took him hiking in the mountains while vacationing in North Carolina and South Dakota. He loved vacation as much as we did, and we always stayed in a dog friendly establishment. He did not like water, but was happy to kayak with us (in his little life vest).


Activities planned with Pembroke:
 Obedience training, hiking, kayaking, herding, fetch

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: 		Take action immediately and gently correct the action.

Discipline:
 We have been taught to use "shame on you" immediately and correct the action in a gentle manner

Where would Pembroke spend the majority of the time:
 In the house with us, at home alone while we are at work, in the yard with us playing

Discipline:
 We have been taught to use "shame on you" immediately and correct the action in a gentle manner
Where would Pembroke spend the majority of the time: In the house with us, at home alone while we are at work, in the yard with us playing

House dog or outside dog?

 House dog

People at home during the day?
 No

Where would dog eat?
 In the kitchen of our home

Where would dog sleep:
 In a crate in our bedroom

Play & exercise:
 Hiking our 20 acre property, fetch and herding activities. Once we adopt a dog we will be fencing in a portion of the yard for off leash play.

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:

 We have a 20 acre property with a corn field, forested area, and a shallow pond.

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?
 Anji and Marc

Willing to train children?
 We do not have children, but we have young neices and a nephew. They knew our Corgi and we took the time to ensure they were properly engaging with him. They were not and will not be left unattended with our dog

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?
 Of course. We have no intention of having more than one pet, but if that changed, we would do everything possible to resolve 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}