Untitled_2667

Applicant IL
State: {Applicant State:2} Date of Application: 11/12/2019 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:
 3 years – 5 years, 5 years – 10 years
Gender preferred:
 Either a Male or a Female
Color preferred:
 Any color
Activity level:
 Couch Potato, Outgoing, Quiet, Playful, Other (Please describe in the box below.)

Other preferences:
 Walks well on leash with no pulling or aggression toward other dogs.

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?

 A pet for us!

Why do you want a Pembroke?
 We have researched the breed and like the idea of a big dog in a small body. Previously we have had Labs or Lab mixes, and while we still like large breeds, we now have a smaller house (1600 sq. ft.) and would like to be able to lift the dog into the car if need be. I’d actually like a Cardigan Corgi (still a fan of tails) with their sturdy bodies and big personalities.

Activities planned with Pembroke:
 Our main form of exercise is walking, whether on the side of the road or in the woods. We would also like to take the dog camping with us. We live near a small lake as well – great for swimming and fetching in or out of the water.

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: 		Correct the behavior by positive reinforcement for the desired behavior, likely using treats.

Discipline:
 Favorite method is pennies in an empty, shaken soda can with the noise discouraging the bad behavior.

Where would Pembroke spend the majority of the time:
 Likely wherever we are, mostly in the house with some outdoor activities.

Discipline:
 Favorite method is pennies in an empty, shaken soda can with the noise discouraging the bad behavior.
Where would Pembroke spend the majority of the time: Likely wherever we are, mostly in the house with some outdoor activities.

House dog or outside dog?

 House dog

People at home during the day?
 Always, every day.

Where would dog eat?
 Likely the corner between our kitchen and dining room.

Where would dog sleep:
 To be determined – likely a dog bed in the living room. Possibly in the bedroom if it can be done without the dog becoming a tripping hazard.

Play & exercise:
 We will be outside for walks once or twice daily with games of fetch thrown in too. There may be an occasional trip to the dog park if the dog “plays well with others…”

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:

 The house is on one level, approximately 1600 sq ft with a yard measuring approximately 1/3 of an acre. All grass & trees – no pool. The (man made) lake I mentioned is approximately one block away and open for swimming.

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?
 Becky

Willing to train children?
 Yes, though our children are grown and we have no grandchildren.

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. The corgi will be an “only pet.”

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}