Untitled_2729

Applicant IL
State: {Applicant State:2} Date of Application: 12/27/2019 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:
 Couch Potato, Quiet, Playful, Energetic

Other preferences:
 We currently do not have any children.

Previous dog owner?
 No
 
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 my husband and myself.

Why do you want a Pembroke?
 I love their short stature and coloring. I understand that they are high energy and intelligent which I appreciate. I love that they are social and playful, I want a dog who will play well with others. I have done my research, but I do not know anyone who has owned one.

Activities planned with Pembroke:
 Take it for hikes and walks. Try to take the dog to the beach, wherever they will let us safely take them. We have family members with dogs and we want to be able to take the Pembroke with us to socialize with them.

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: 		We understand that they are not perfect and are adjusting to our rules so they. So we will say "no" with a firm voice.

Discipline:
 Positive reinforcement when they do something correctly/follow the rules. If they do something bad, we will use the word "no" immediately after with a firm voice. Vocal directives and time outs if the behavior is really intense.

Where would Pembroke spend the majority of the time:
 In our home. Maybe a few days a week at a doggy daycare.

Discipline:
 Positive reinforcement when they do something correctly/follow the rules. If they do something bad, we will use the word "no" immediately after with a firm voice. Vocal directives and time outs if the behavior is really intense.
Where would Pembroke spend the majority of the time: In our home. Maybe a few days a week at a doggy daycare.

House dog or outside dog?

 House dog

People at home during the day?
 No, we both work full time but are close enough that we can come home at lunch to socialize.

Where would dog eat?
 In our kitchen.

Where would dog sleep:
 In our spare bedroom

Play & exercise:
 We take the dog for walks daily, twice daily if necessary. Doggy daycare that allows the dogs to run around. Dog parks when it is nice outside. We also have a large backyard that we could let the dog run around in.

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:

 No swimming pool. A few trees in the yard, but very spascious. Plan to get an electric fence in the future. The neighbors yard is fenced in along one side. The backside there is a tree line bordering neighbors. The other neighbor has a pool that is fenced in.

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?
 Jennifer

Willing to train children?
 Yes, 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?

Are you willing to work on it if your new dog doesn’t get along with your current pets right away?
 yes, 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}