Untitled_2656

Applicant IL
State: {Applicant State:2} Date of Application: 10/30/2019 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:
 0 months – 1 year (we rarely get dogs in this age group), 1 year – 3 years, 3 years – 5 years
Gender preferred:
 Male
Color preferred:
 Any color
Activity level:
 Couch Potato, Outgoing, Quiet, Playful, Energetic, Very Active

Other preferences:
 We live on a horse farm and are outside all the time. Would love a dog that enjoys that as well. We need to choose a male dog because my 11 yr old beagle mix is a dominant female and tends to do fine with male dogs verses females.

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?

 For our family. Myself, my husband, and our 6 yr old son.

Why do you want a Pembroke?
 I grew up at a horse ranch and the owner had two corgis. They were so fun and full of personality. I decided then that I'd have one some day. I love their look. I love that they seem like farm dogs. Short, smaller, but stout and sturdy. They all seem like characters.

Activities planned with Pembroke:
 I would walk ours, let it swim in the pond if it likes, go on horse rides once I know it will stay with me. Run around the farm, greet kids that I have coming for horseback riding lessons and camp days I provide at my house. Live indoors, lay on the couch with us. I would take it to work with me at the vet clinic during the weekdays. Right now I take one of my beagles.

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 look at ways to long term train it to help that behavior. I'd also in that moment tell it no and try to direct its attention to then something else.

Discipline:
 Positive reinforcement.

Where would Pembroke spend the majority of the time:
 In the house with us, or in the barn if we are out there or outside. I also intend to take it to work me at the vet clinic. It can hang out behind receptionist desk with me. I often walk my beagle mix on my lunch hour.

Discipline:
 Positive reinforcement.
Where would Pembroke spend the majority of the time: In the house with us, or in the barn if we are out there or outside. I also intend to take it to work me at the vet clinic. It can hang out behind receptionist desk with me. I often walk my beagle mix on my lunch hour.

House dog or outside dog?

 House dog

People at home during the day?
 My husband is a farrier and his schedule is flexible. He is home regularly throughout the day. I work Tues- Friday and will aim to take my corgi with me.

Where would dog eat?
 In the kitchen. We have our dog bowls in a corner in the kitchen.

Where would dog sleep:
 On a dog bed in my bedroom.

Play & exercise:
 We are outside every day. Even in winter, we spend hours cleaning the barn, working horses, playing with my son. Even more so in spring, summer, and fall. My son will love to run and play with another dog. We also have a younger beagle that loves to run and play. Our whole property is fenced in, so they can run free,

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?
 We have wire mesh fencing around 3/4s of 3 acres of land. The front of property is wooden fence. Not wide enough for a corgi to get through. We have a gate to the property we keep shut when dogs (or other animals) are lose.

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 live on 3 acres. Probably 2 acres are fenced for horses with electric fencing. We have a barn with a doggy door. We also have two goats that have their own fenced area. My sons swing set is in their area. Sometimes the goats are let out with horses or to roam the yard.

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?
 Kayla Poole

Willing to train children?
 Yes, my son has been around dogs, cats, goats, horses his whole life, He understands what it means to respect them. He often helps. HE has a huge heart for animals. We also foster kittens and walk dogs at our local animal control.

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?
 My female dog has had issues with other dominant female dogs. I would prefer a male. I will work at resolving any issues, but will ensure safety of my other pets.

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}