Untitled_2689

Applicant IL
State: {Applicant State:2} Date of Application: 11/27/2019 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:
 Either a Male or a Female
Color preferred:
 Any color
Activity level:
 Other (Please describe in the box below.)

Other preferences:
 We have 3 cats and a chocolate lab. 2 of our cats have a pretty laid back manner (they are over 5) and we have a tuxedo cat that is under 1 year and very friendly with the chocolate lab. Our animals are our family.

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?

 Our 14 year old daughter

Why do you want a Pembroke?
 What isn't there to love? They are cute and flouncy. But more importantly the right size for our teenage daughter. She has tons of energy and is fun size as well (just under 5 foot 2)

Activities planned with Pembroke:
 She would love to have an animal to walk around the neighborhood with. My husband and I would feel better about her safety if she had an animal companion. She also has a bit of depression so the cuddles would be the most important. We also like to set up the kiddie pool in our fenced in back yard for the dog in the summer. We play lots of fetch as well.

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? No

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: 		Time out in the crate or a spray bottle. We try not to yell.

Discipline:
 We use a spray bottle. Our lab took to it since he saw how the cats are disciplined.

Where would Pembroke spend the majority of the time:
 Running around the house, yard or neighborhood with our teenager, or myself.

Discipline:
 We use a spray bottle. Our lab took to it since he saw how the cats are disciplined.
Where would Pembroke spend the majority of the time: Running around the house, yard or neighborhood with our teenager, or myself.

House dog or outside dog?

 House dog

People at home during the day?
 Yes

Where would dog eat?
 In the kitchen while the family eats meals together

Where would dog sleep:
 Hopefully in bed with our daughter

Play & exercise:
 We play fetch with chuck it balls and sticks multiple times a day. In the summer we toss a ball into a kiddie pool for the pups. They love it. We also go for walks.

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?
 4 1/2 foot tall garden fence at the side where the garden is. The back yard has a 5 1/2 or 6 foot, white vinyl fence with posts that are anchored with concrete into the ground.

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 fenced off veggie garden. (We grow pumpkins for the dog) large fenced in back yard. We set up a hard sided kiddy pool (about 1 foot deep) that we fill for the dog in the summer.

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?
 Mikayla

Willing to train children?
 Of course

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?
 Of course

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}