Untitled_2784

State: {Applicant State:2} Date of Application: 01/23/2020 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:
1 year – 3 years
Gender preferred:
Either a Male or a Female
Color preferred:
Any color
Activity level:
Playful

Other preferences:
We have a border collie male going on 4 years old. He is super friendly, but any dog we adopt would need to get along with other dogs.

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 family. (Myself, wife & daughter)

Why do you want a Pembroke?
We have researched the breed and met a few Corgi pups and just love them. They are so smart and cute. We think one would be a great addition to our family.

Activities planned with Pembroke:
We live next to a big state park and go for walks there often with our current dog Cooper. We go camping, play in the snow in winter, go to the beach in the summer, and have a large fenced in back yard with plenty of room to run. Our neighborhood has lots of kids & "dog people" who love playing with Cooper & would love a Pembroke around too.

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:
Stern voice to show displeasure and positive reinforcement of correct behaviour through attention, praise or treats.

Discipline:
Stern vocalizations, and/or crate time.


Where would Pembroke spend the majority of the time:
Indoors at our home, and free to run about in the yard, or at work with me

Discipline:
Stern vocalizations, and/or crate time.
Where would Pembroke spend the majority of the time: Indoors at our home, and free to run about in the yard, or at work with me

House dog or outside dog?

House dog

People at home during the day?
Sometimes. It varies by season.

Where would dog eat?
In the kitchen.

Where would dog sleep:
Welcome to sleep anywhere in the house. Our current dog Cooper rotates between his doggie bed in his crate (the door is always open so he can come and go as he pleases) the couch, loving room rug, and the foot of my bed.

Play & exercise:
Walks, camping trips, beaches, and a fully fenced in back yard. Plus my 7 year old daughter & all her friends would keep playtime going.

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?
Very large fenced in area running the full length of our house & around the back yard. The fence itself is a black wrought iron fence (non privacy) 4 feet tall.

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:

Large fenced in side/back yard (corner lot) with large deck overlooking the back yard. No pool, trampoline or other fixtures.

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?
Alex Cando

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?

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?
Urs

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}