Untitled_3208

Applicant IL
State: {Applicant State:2} Date of Application: 08/03/2020 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
Gender preferred:
 Either a Male or a Female
Color preferred:
 Any color
Activity level:
 Couch Potato, Outgoing, Quiet, Playful, Energetic

Other preferences:
 We are looking for a youngish dog who will bond well with our family

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?

 We are looking for a family dog

Why do you want a Pembroke?
 We are looking for a smart and friendly, small to mid-sized dog and we believe the Pembroke Welsh Corgi embodies these traits. We think they are adorable!

Activities planned with Pembroke:
 We live on 4 acres of land on the edge of New Glarus near the Sugar River State Trail. We look forward to going for walks, roaming around our land and garden, and snuggling together. Our son would like to teach the dog some tricks and we might build an agility obstacle course for our dog.

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?

 No

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: 		We are eager to take a puppy training class to learn the best ways to work with training a new dog.

Discipline:
 We haven't had a dog before and are eager to learn the best ways to work with our new dog.

Where would Pembroke spend the majority of the time:
 In our house and yard

Discipline:
 We haven't had a dog before and are eager to learn the best ways to work with our new dog.
Where would Pembroke spend the majority of the time: In our house and yard

House dog or outside dog?

 House dog

People at home during the day?
 We are all currently home during the day. After the pandemic, we will be working from home a couple days each and our son will be in middle school/high school, so the dog would be home alone about 1 day per week.

Where would dog eat?
 In the kitchen/great room.

Where would dog sleep:
 Likely in our son's room, though we'd probably have a few doggie beds in different areas of the house.

Play & exercise:
 We plan to install invisible fence in a large section of our property so our dog can free-roam our garden and yard area.
We take daily walks and would play catch in the yard. We are also planning to build an obstacle course for the dog.

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:

 We own 4.3 of mostly wooded acres on the edge of the village of New Glarus. We have one immediate neighbor and are surrounded by about 10 additional acres of woodland. We are across the street from a 150 acre dairy farm, and about a quarter mile from the Sugar River State Trail. We have about a half acre of yard/garden and the rest of the property is wooded with paths running through it.
We plan to install invisible fence around our garden/yard area to allow the dog to free roam in the yard.

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?
 Shannon

Willing to train children?
 Yes. We've had guinea pigs for a while, which are very different from dogs, but have taught our son what it takes to care for a pet. We've been waiting some time to commit to adopting a dog and wanted to wait until we moved into our new home. Now that we are settled in our new house and our work situations have changed to allow one of us to be home most days of the week, we are excited to take on the care of a dog and teach our son to care for him as well.

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?
 Our guinea pigs live in a large cage at counter height in our great room. We take them out to snuggle them or to spend time in an enclosed area in our yard but they do not roam free in the house. We wouldn't expect there to be a conflict with our new dog, but would resolve the problem if there was a conflict.

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}