Untitled_3160

Applicant IL
State: {Applicant State:2} Date of Application: 07/13/2020 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?
 No
 
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?

 Myself and my family

Why do you want a Pembroke?
 We have been researching for a while. My 17 year old son has wanted a corgi since he was very little but the timing wasn’t right till now. I like the size of Corgi’s. We looked into getting an Aussie as well but I’m leaning towards a Corgi. I like that they are very smart and trainable and so full of personality. Plus I want a loyal and affectionate family dog. I am aware that they are heavy shedders but I am prepared for that.

Activities planned with Pembroke:
 I am a daily walker and I hope this dog will get me out and moving even more. We live along the lakeshore so we would take it to the beach if it’s up for it. We spend lots of time at home and in the yard so it would gets lots of attention.

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: 		Quickly show correct behavior, use positive reenforcement. Consistent training and encouragement

Discipline:
 Positive discipline, keep a close eye on them to try to catch them in the act and correct behavior quickly.

Where would Pembroke spend the majority of the time:
 At home. My husband works from home most of the time and I work close to home. I go home for lunch so I am only gone for 4 hours. My son is also a homebody. We are usually here most of the time. We would crate the dog at night if necessary.

Discipline:
 Positive discipline, keep a close eye on them to try to catch them in the act and correct behavior quickly.
Where would Pembroke spend the majority of the time: At home. My husband works from home most of the time and I work close to home. I go home for lunch so I am only gone for 4 hours. My son is also a homebody. We are usually here most of the time. We would crate the dog at night if necessary.

House dog or outside dog?

 House dog

People at home during the day?
 Yes

Where would dog eat?
 Kitchen

Where would dog sleep:
 Crate or dog bed. But may end up in bed with us too.

Play & exercise:
 I walk at least 40 min a day and spend a lot of time outside so dog would be out moving a lot.

How will you exercise your dog?
 Both on leash and restrained to the yard

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:

 Live in a single family home in a quiet family neighborhood. Our back yard is partially fenced in and we can fence it in completely if necessary.

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?
 Missy( myself)

Willing to train children?
 Yes, my son is older so he is pretty responsible but he will need to learn to take care of the dog. He is used to cats that don't require as much work.

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}