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Applicant IL
State: {Applicant State:2} Date of Application: 10/22/2020 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:
 Any age
Gender preferred:
 Either a Male or a Female
Color preferred:
 Any color
Activity level:
 Couch Potato, Outgoing, Quiet, Playful, Energetic, Very Active

Other preferences:
 I have another dog, so I need a corgi that gets along with other dogs well.

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?

 Me

Why do you want a Pembroke?
 I had a Corgi that recently passed away. She made me fall in love with the breed. She was loyal to the core and had such a personality of her own! She didn’t trust easily, but with time and patience, she came to trust me, and it meant the world to me. I miss her everyday. They are smart, intelligent, playful, loyal and have so much love to give to their humans.

Activities planned with Pembroke:
 Before my Corgi passed away, we went on walks around the neighborhood, took trips to the park, played fetch with the tennis ball and took trips. We had so much fun! I would do the same things with another Corgi or with any dog that I have.

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 would try to properly correct the mistake. For instance, if a Pembroke pees in the house, I would take the Pembroke outside immediately so that he or she would know that outside is the correct place to do that.

Discipline:
 I just say “no” when my puppy is doing something that she shouldn’t be. If she doesn’t listen, I give her a time out only for a few minutes; this method seems to work very well for her. Under no circumstance do I practice hitting or harming my dog; I completely disagree with that form of discipline.

Where would Pembroke spend the majority of the time:
 He or she would go outside where we have a fenced in backyard whenever required or she would like. I would take him or her on walks fairly often, as well as trips to the park. We would play fetch with the tennis ball if that is something that he or she enjoys. We would have snuggle time. If she enjoys the company of other dogs, he/she and my dog may play together.

Discipline:
 I just say “no” when my puppy is doing something that she shouldn’t be. If she doesn’t listen, I give her a time out only for a few minutes; this method seems to work very well for her. Under no circumstance do I practice hitting or harming my dog; I completely disagree with that form of discipline.
Where would Pembroke spend the majority of the time: He or she would go outside where we have a fenced in backyard whenever required or she would like. I would take him or her on walks fairly often, as well as trips to the park. We would play fetch with the tennis ball if that is something that he or she enjoys. We would have snuggle time. If she enjoys the company of other dogs, he/she and my dog may play together.

House dog or outside dog?

 House dog

People at home during the day?
 Yes, my husband works from home. We are both typically off on weekends. I work if the afternoon only on Tuesdays and Thursdays. I am going to be starting my own animal services business soon, so my hours would end sooner too.

Where would dog eat?
 Whatever is recommended. I feed my dog Hills Science Diet puppy dry food.

Where would dog sleep:
 Hopefully with me! If not, he/she will have a bed. My previous Corgi sometimes slept with me and sometimes didn’t. Towards the end of her life, she prefers to sleep on the floor.

Play & exercise:
 We will take walks around my neighborhood and to the dog park. We also have a fenced in back yard. I will also play fetch with her!

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?
 It completely surrounds my back yard, wooden and it is about 6-7 ft high.

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 fence in back yard, a patio with some patio furniture and fire pit.

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?
 Me- Misty Rice, Husband- Clark Rice

Willing to train children?
 Absolutely! However, we do not have children at the moment.

Any allergies?

 One or more family members might be allergic to dogs.

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?

 Yes, all of our current pets are 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. I will even hire a professional trainer if needed.

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}