Untitled_2774

Applicant IL
State: {Applicant State:2} Date of Application: 01/17/2020 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 a 12 yr old female Beagle whose activity level is probably medium!

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?

 Us

Why do you want a Pembroke?
 We love the size and personality of the corgi. We live in town and have a large yard but don’t want a large dog. We love how friendly and devoted they are too. We had a lovely fellow named Myles in our family. Everyone loved him and he loved everyone too.

Activities planned with Pembroke:
 We walk on a leash three times each day, play with him with toys and generally enjoy everything about him.

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: 		We use one word commands in a firm but calm voice at the time the mistake happens. If we don’t actually catch the mistake as it happens we have to just move on because he/she won’t understand why they’re being disciplined. We don’t crate them for punishment.

Discipline:
 Positive reinforcement for good behavior and for bad behavior try to stop him/her in the act and use commands.

Where would Pembroke spend the majority of the time:
 Indoors anywhere on the ground floor. We have a ranch house with a basement so we keep the basement door closed. Our other corgi did not like going on the stairs.d

Discipline:
 Positive reinforcement for good behavior and for bad behavior try to stop him/her in the act and use commands.
Where would Pembroke spend the majority of the time: Indoors anywhere on the ground floor. We have a ranch house with a basement so we keep the basement door closed. Our other corgi did not like going on the stairs.d

House dog or outside dog?

 House dog

People at home during the day?
 Yes, Dave is home all mornings and Marie gets home by 5.

Where would dog eat?
 In the mudroom at a separate time from our beagle so he/she can have meal time without competition from another dog.

Where would dog sleep:
 In the mudroom or, if they are crate trained, in the crate.

Play & exercise:
 He/she gets walked 3 times a day on the leash. We don’t let them off leash outside.
We try to play a little every day when someone comes home.

How will you exercise your dog?
 On leash

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:

 ¾ acre lot with a 50’s ranch home so it’s a large lot with a small home. We have quite a few trees and a vegetable garden. It is fenced on two sides in the back, no fences in front.

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?
 Jointly Dave and Marie

Willing to train children?
 Yes.

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?
 Absolutely

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}