Untitled_3253

Applicant IL
State: {Applicant State:2} Date of Application: 08/23/2020 Referred by: Breeder
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:
 Any age
Gender preferred:
 Either a Male or a Female
Color preferred:
 Any color
Activity level:
 Playful, Energetic, Other (Please describe in the box below.)

Other preferences:

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?

 For our family consisting of two teenagers and a Shih Tzu/Poodle mix (neutered; male; nine-years-old). He would do well with most types of dogs, but would prefer a female corgi.

Why do you want a Pembroke?
 We love their friendly and smart personalities. I had two welsh corgis growing up and am well versed with them.

Activities planned with Pembroke:
 We would love a dog that we could cuddle with, but also take on walks and play with.

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: 		If they are in the act of doing a mistake, then we would stop them from what they are doing and redirect them and praise them for the proper behavior. For example: If the dog has an accident in the house, we would take them outside to go to the bathroom and praise them for the proper behavior.

Discipline:
 We tell the dog with a firm but calm voice "No" and then redirect them to a proper behavior. We give positive reinforcement for good behaviors.

Where would Pembroke spend the majority of the time:
 In the house.

Discipline:
 We tell the dog with a firm but calm voice "No" and then redirect them to a proper behavior. We give positive reinforcement for good behaviors.
Where would Pembroke spend the majority of the time: In the house.

House dog or outside dog?

 House dog

People at home during the day?
 Yes.

Where would dog eat?
 We have a eating area in the kitchen for the dogs.

Where would dog sleep:
 We have 3 dogs beds throughout our house. One in the living room, one in the sun room, and one in the bedroom.

Play & exercise:
 We take our current dog for walks throughout the day. We also play with him in the house and in the front yard.

How will you exercise your dog?
 On leash

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 have a large flat area in our front yard. We use a stake and leash to put our dog in the front yard, but we do not do this often. We have 4 people living in our home and we take turns taking our current dog for walks throughout the day. Our yard has a steep slope down to the back yard and it is next to a nature preserve. We very rarely take the dogs to the back yard because there is not as much space as there is in the front. The yard is not fenced in and there is not pool.

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?
 Ramon

Willing to train children?
 My children are good around animals

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?
 The rabbit is kept in the basement and will never interact with the dogs. If there is an issue with our current dog and the Corgi then we will do everything we can to resolve the problem and get them acclimated with each other.

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}