Untitled_2737

Applicant IL
State: {Applicant State:2} Date of Application: 12/29/2019 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:
 Either a Male or a Female
Color preferred:
 Any color
Activity level:
 Outgoing, Quiet, Playful, Energetic

Other preferences:
 Mellow personality. Social with other dogs and people. Not a barker.

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?

 Laurie Bigelow

Why do you want a Pembroke?
 I had a lovable tri-color Pembroke Welsh Corgi in the past and love the breed! Bruce, my Corgi, had a wonderful mellow personality. All my family and friends loved Bruce! He traveled with me at times when I was on vacation. He knew some tricks and and loved his yellow tennis ball. He tried to talk and it was so cute! I loved taking him on walks! I know Corgis are herding dogs. I took excellent care of him!

Activities planned with Pembroke:
 Go for walks. I live next door to a park and would take him or her there to play. I also live by a beautiful walking trail and would take him or her to walk and get exercise, sunshine and fresh air. I would like to take him or her in the car for car rides for short outings. I would like to take him or her to have play dates with friend's dogs.

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: 		Patiently show the correct way and use a treat for reinforcing positive behavior.

Discipline:
 Say "No" or "Stop" in a normal tone of voice and reinforce positive behavior with a treat.

Where would Pembroke spend the majority of the time:
 In my apartment with me when not outside.

Discipline:
 Say "No" or "Stop" in a normal tone of voice and reinforce positive behavior with a treat.
Where would Pembroke spend the majority of the time: In my apartment with me when not outside.

House dog or outside dog?

 House dog

People at home during the day?
 Yes, I only work 10 hours a week, so two half days a week. Then I'm home.

Where would dog eat?
 Kitchen.

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

Play & exercise:
 Will go outside approximately 5 or more times a day. I would like to make play dates with other friend's well socialized and behaved dogs. I live next door to a very nice park, so I would take my Corgi there to walk and play.

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:
 Apartment on second floor

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?
 Yes

Description of yard:

 I live in an apartment and there is no swimming pool.

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?
 Laurie Bigelow

Willing to train children?
 I have 5 grandchildren who are very well behaved and love their dog, and he loves them.

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, but I don't plan on owning any 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}