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Applicant IL
State: {Applicant State:2} Date of Application: 02/06/2020 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:
 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, 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?

 This corgi would be for us. We lost our sweet corgi, Bandit, last April and are starting the process of looking for a fluffy butt companion to bring the joy she once brought to us back into our home.

Why do you want a Pembroke?
 We lost our sweet angel about a year ago. We miss her sassy little attitude, her cute little hops, and her wiggly butt.

We love the breed because they are so independent and loving and loyal all at the same time. I love that they are a big dog with a big attitude in a little package. They are also the smartest dogs I’ve ever known. I taught Bandit to ring a doorbell to go potty in two days when she was just 5 months old.


Activities planned with Pembroke:
 We take our older dog on two walks a day and when we had Bandit we took special trips to the lake to swim, went on long hikes (carried her up the steep stuff, because she wasn’t allowed to jump) we went camping, and played fetch every day.

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 feel just like with humans you have to understand what your dog responds to. Bandit, our corgi was stubborn, so a stern voice was all it took. However, our older dog Della was once abused, so she gets scared with a stern voice and redirecting her is a better way for her.
I got Bandit when she was a little puppy so I was able to train her by positive reinforcement.
Most of the time she was naughty was when I wasn’t home. For instance, shed tear open a bag to shreds or get into the garbage. Because I didn’t catch her in the act, I didn’t feel like she’d know what she was getting in trouble for, so I made sure I didn’t leave bags that had had food in them and I bought trash cans with lids.

Discipline:
 I explained above. I felt like Bandit responded well to a stern voice and positive reinforcement. I also felt like keeping her tired and entertained kept her out of trouble in the first place.

Where would Pembroke spend the majority of the time:
 My husband and I do both work full time, but we have a big backyard they couldn’t spend outside, a cozy bed inside, and walks and fetch in the mornings and evenings.

Discipline:
 I explained above. I felt like Bandit responded well to a stern voice and positive reinforcement. I also felt like keeping her tired and entertained kept her out of trouble in the first place.
Where would Pembroke spend the majority of the time: My husband and I do both work full time, but we have a big backyard they couldn’t spend outside, a cozy bed inside, and walks and fetch in the mornings and evenings.

House dog or outside dog?

 House dog

People at home during the day?
 Not every day, but I work from home about two days a week.

Where would dog eat?
 We have the food bowls set up near the table.

Where would dog sleep:
 In a cozy bed in our bedroom, or in a crate if they felt more comfortable there.

Play & exercise:
 All the time! Our older dog gets two walks a day. When bandit was around we’d walk to the park all together and then Della would take a nap and Bandit would play fetch. We also have a big back yard and parks all around for fetch. If they liked playing with other dogs, we’d make trips to the dog park down the road.

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 live on 1/4 acre and it is fully fenced with a 6’ fence.

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:

 We live on 1/4 acre in a suburb of Denver.

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?
 Myself – Brenna Zumbro and Dylan, my husband

Willing to train children?
 Yes, and we’d need to make sure that there hasn’t been any issues with children, as we are planning to have a family in the next year or two.

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}