Untitled_2693

Applicant IL
State: {Applicant State:2} Date of Application: 11/30/2019 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
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?

 My 13-year-old granddaughter who lives with me.

Why do you want a Pembroke?
 "I have done so much research on the breed I know it like the back of my hand. I think they are so happy and so adorable when they are sploting. They have just the right energy level. I think my spirit animal is a corgi and I'll love to come home to it every day," said my granddaughter.

Activities planned with Pembroke:
 "I would take it for walks, to a dog park to socialize, and play with it.

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 not be angry but, instead, train it to not make the mistake again," said granddaughter.

Discipline:
 Grandfather speaking: I would teach my granddaughter to use a short leash and a prong collar in a precise manner which is harmless to the dog (gentle flicks). I would then teach her to use the prong collar with a retractable leash to teach more commands. Next, I would show her to add a vibrating training collar to initiate commands. We would then remove the prong collar and, later, the leash to test obedience. These methods have been successfully used with two Dutch
Shepherds.

Where would Pembroke spend the majority of the time:
 In the home except during playtime. We have a two acre yard surrounded by an underground electric fence. The Pembroke would be fitted with a collar.

Discipline:
 Grandfather speaking: I would teach my granddaughter to use a short leash and a prong collar in a precise manner which is harmless to the dog (gentle flicks). I would then teach her to use the prong collar with a retractable leash to teach more commands. Next, I would show her to add a vibrating training collar to initiate commands. We would then remove the prong collar and, later, the leash to test obedience. These methods have been successfully used with two Dutch
Shepherds.
Where would Pembroke spend the majority of the time: In the home except during playtime. We have a two acre yard surrounded by an underground electric fence. The Pembroke would be fitted with a collar.

House dog or outside dog?

 House dog

People at home during the day?
 Yes.

Where would dog eat?
 In the kitchen.

Where would dog sleep:
 On its own bed in my granddaughter's bedroom.

Play & exercise:
 In good weather with an electric fence collar, it can play outside with our Dutch Shepherd and chase chipmunks. I walk miles per day along our rural roads with our Dutchy but my granddaughter has pledged to take her corgi for appropriate length walks on leash.

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 an electric fence capable of keeping our much larger Dutchy safe.

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:

 Two acres: no pools; just trees, grass and flower gardens.

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?
 Maleah

Willing to train children?
 Yes, and she is already experienced.

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?
 Yes

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}