Untitled_3075

Applicant IL
State: {Applicant State:2} Date of Application: 06/14/2020 Referred by: Friend
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
Gender preferred:
 Either a Male or a Female
Color preferred:
 Any color
Activity level:
 Playful

Other preferences:
 Non-agressive. Playful disposition and friendly with other dogs, people, etc.

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?

 Me. Single adult with plenty of room. Backyard and a nice deck. I had a mini
Dacshund for 16.5 years and he passed away 2 years ago. I am looking for a new buddy. I work from home, so have the time to spend with a new pup.

Why do you want a Pembroke?
 I love the breed. Had a dachshund for 16.5 years. Love short long dogs who are full of personality. I have several friends who have Corgis and have done a lot of research. I would prefer to provide a home for a dog that needs rescuing as opposed to going to a breeder.

Activities planned with Pembroke:
 Playing in the back yard, lots of walks, socializing with all my doggie friends.

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 would rely on learning from a trainer for some guidance. With my last dog, we worked on positive reinforcement for positive behavior. I would follow that same idealogy.

Discipline:
 Voice commands and positive behavioral reinforcement.

Where would Pembroke spend the majority of the time:
 In my home including deck and yard areas. If it make sense, I would crate train on the main floor of my home. Walks too.

Discipline:
 Voice commands and positive behavioral reinforcement.
Where would Pembroke spend the majority of the time: In my home including deck and yard areas. If it make sense, I would crate train on the main floor of my home. Walks too.

House dog or outside dog?

 House dog

People at home during the day?
 Yes, I work from home.

Where would dog eat?
 Well, I would find out what the dog has been eating and if healthy option, I would continue.

Where would dog sleep:
 Either in crate if young or in my bedroom in it's own bed.

Play & exercise:
 As much as they want. I walk several times a day and have great walking paths and parks near my home which are all walkable. I also have many many friends with dogs to interact and play with. I also would play with the pup and enjoy the back yard and deck.

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?
 I have a 6 foot fence around the entire yard. two gates that have locks on them that I keep locked.

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:

 Deck (12'X12'), small main grassy area, area on the side of the garage to run.

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?
 Jeannie

Willing to train children?
 Yes, absolutely. I have help several friends who have gotten new dogs and helped them get acclimated from the standpoint of engaging the entire family in a safe and fun manner.

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.

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}