Untitled_3234

Applicant IL
State: {Applicant State:2} Date of Application: 08/06/2020 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:
 0 months – 1 year (we rarely get dogs in this age group), 1 year – 3 years, 3 years – 5 years
Gender preferred:
 Female, Either a Male or a Female
Color preferred:
 Any color
Activity level:
 Couch Potato, Outgoing, Quiet, Playful, Energetic

Other preferences:
 I have 3 cats, a fenced in back yard and my own house. I have struggled with the idea of getting another dog after the loss of my last one. She was my everything and my animals are truly my children.

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?

 Myself

Why do you want a Pembroke?
 I did a lot of research on the breed when I was in college and have wanted one ever since. They are sweet and yet sassy. I like how hardy they are for being such a small dog. They are the perfect size for both a lap dog and as part of the furry family. I know they are herding dogs and that is something I would have to work on with them. I have met a few Corgis and they have always been very affectionate. Plus the way they run and walk is so cute it's ridiculous.

Activities planned with Pembroke:
 Walks, play with toys, training, relaxing on the couch, playing in the snow… I have a best friend that lives close so I would take my Corgi to play with her dog. She also goes to dog parks so it would be perfect for playing ball and socializing.

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: 		With firm vocalization and a specific hand jester

Discipline:
 Verbal reprimand and if it's really bad and I'm pretty upset then it would be a timeout in a crate or designated area of the house

Where would Pembroke spend the majority of the time:
 With me, in the house and outside running the yard.

Discipline:
 Verbal reprimand and if it's really bad and I'm pretty upset then it would be a timeout in a crate or designated area of the house
Where would Pembroke spend the majority of the time: With me, in the house and outside running the yard.

House dog or outside dog?

 House dog

People at home during the day?
 No, I am currently only going into the office for work 2 days a week during this pandemic

Where would dog eat?
 There would be a designated spot in the kitchen and if that doesn't work I will have a spot ready in my office room

Where would dog sleep:
 Next to me in my bed or the dog bed supplied on the floor in my bedroom

Play & exercise:
 I have a yard, will buy lots of toys like tennis balls, I have a good friend who lives close and had a high energy dog so they could play together. I would also go on walks. My goal is daily walks as long as the weather is acceptable to my dog

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?
 Privacy fence with a section of my neighbor's fence that is chain link

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:

 I have plants, a raised garden bed, a small patio. My yard is pretty simple. I primarily use a section for gardening and the rest is grass

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?
 JoAnna Lindberg

Willing to train children?
 N/A

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?

 No, some of our current pets are not friendly toward dogs

Are you willing to work on it if your new dog doesn’t get along with your current pets right away?
 Absolutely!

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}