Untitled_3250

Applicant IL
State: {Applicant State:2} Date of Application: 08/21/2020 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
Gender preferred:
 Female
Color preferred:
 Any color
Activity level:
 Couch Potato, Outgoing, Quiet, Playful, Energetic

Other preferences:
 Must tolerate cats. We don't have attack cats but they don't appreciate an aggressive dog.

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?

 Lyle and I.

Why do you want a Pembroke?
 I had a Welsh Pembroke about three years ago. She was about two when I rescued her and she was our little girl until she passed (2002-2017). She went everywhere we went even Rushmore and Yellowstone. She would say "I love you.", carried her leash in her mouth on walks, fetched "Dad" if I needed him. She swiped tools and put them back in the shed. She was flower girl at our wedding. She was a gem. I love the breed, the size, the personality and how spunky and totally involved they are. It took me fifty years to be blessed with my first Corgi and now I can't imagine having any other breed.

Activities planned with Pembroke:
 Throw a ball or play tug with it. Lyle is outside much of the time during the day so she would have free range of our fenced yard. Our grand kids are age four to aged thirty so she'll have plenty of people to run with. We always bring g our pets in at night because of the coy dogs and coyotes we have in our area. They have their own beds.

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 correct the behavior and redirect the dog and get it interested in another activity

Discipline:
 I remove the temptation and get them involved with a toy ,treat or activity they are allowed to have.

Where would Pembroke spend the majority of the time:
 Most of our dog's spend their time with me in our home. I'm usually the one to fuss over them and engage in training or tricks.

Discipline:
 I remove the temptation and get them involved with a toy ,treat or activity they are allowed to have.
Where would Pembroke spend the majority of the time: Most of our dog's spend their time with me in our home. I'm usually the one to fuss over them and engage in training or tricks.

House dog or outside dog?

 House dog

People at home during the day?
 Yes

Where would dog eat?
 In our hallway by our kitchen

Where would dog sleep:
 We have a bed for our dog but it would not be uncommon if they slept on the end of our bed .

Play & exercise:
 My husband is outside everyday, weather permitting. He will play and exercise with the dog daily.

How will you exercise your dog?
 On leash

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?
 Chain link 4-5ft high surrounding our yard , our nephew's yard next door, and a large side yard included.

Living arrangements:
 Rent/lease 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?
 Yes, you may contact my landlord.

Lease allow dogs:
 Yes, my lease permits dogs.

Landlord permission:
 Yes, my landlord is fine with me owning a Pembroke

Restrictive covenants?
 Not applicable

Breed/size restrictions?
 No

Description of yard:

 Two houses inside a large chain link fence. There is also a large side yard ,a garage and a utility shed.

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?
 Lyle Bushland

Willing to train children?
 Yes, we watch our animals around our visitors, especially children.

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?
 Yes they will be trained not to interfere with their housemates.

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}