Untitled_3070

Applicant IL
State: {Applicant State:2} Date of Application: 06/13/2020 Referred by: Other
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, 3 years – 5 years
Gender preferred:
 Either a Male or a Female
Color preferred:
 Any color
Activity level:
 Couch Potato, Outgoing, Quiet, Playful, Energetic

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?

 the whole family

Why do you want a Pembroke?
 They're loyal playful and energetic. Mischievous when their minds are left idle. They're smart and trainable. Stubborn, but we have kids they're stubborn too we can work with stubborn. They love a long life which would be great for a life long companion for our family. They are a perfect medium size pup.

Activities planned with Pembroke:
 Do things as a family. Play in the fenced backyard, snuggle, take walks, swim in baby pool play in sprinkler, play ball or whatever the particular dogs play toy preference is. Watch movies. Be a family companion

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: 		try to retrain the behavior. Tell and show the pup what was wrong and encourage him/her when they do right.

Discipline:
 Show the pup what they did wrong with a non yelling stern voice and make them sit and stay while making eye contact to show im serious. And again give reward for good behavior

Where would Pembroke spend the majority of the time:
 in our home. There is someone home almost all day long. When we are not home we would crate until we our trust has been earned with proven good behavior to be left to roam the empty house. Most of the time someone is always home.

Discipline:
 Show the pup what they did wrong with a non yelling stern voice and make them sit and stay while making eye contact to show im serious. And again give reward for good behavior
Where would Pembroke spend the majority of the time: in our home. There is someone home almost all day long. When we are not home we would crate until we our trust has been earned with proven good behavior to be left to roam the empty house. Most of the time someone is always home.

House dog or outside dog?

 House dog

People at home during the day?
 yes, majority of the day if not all day

Where would dog eat?
 in our open concept kitchen

Where would dog sleep:
 in a crate for a little while, once binds are formed and potty trained, pup can sleep with us

Play & exercise:
 during good weather on the daily whether walks for a game in the fenced backyard. In the winter lots of indoor play.

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?
 6ft at street side and 4ft between neighbors cedar shadow box

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:

 a fully covered grass backyard. Completely fenced in. No pool. With a 30ftx18ft concrete patio that in nice weather we keep a kiddy pool on for our kiddos. We would get an additional baby pool for the pup.

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?
 The whole family. (Mostly us adults)

Willing to train children?
 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 we are. We have no idea if the cats are good with dogs.

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}