Untitled_3418

Applicant IL
State: {Applicant State:2} Date of Application: 11/11/2020 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, 3 years – 5 years, 5 years – 10 years
Gender preferred:
 Either a Male or a Female
Color preferred:
 Any color
Activity level:
 Couch Potato, Outgoing, Quiet, Playful, Energetic, Very Active

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?

 Our family

Why do you want a Pembroke?
 I would consider myself a corgi enthusiast. I fell in love with their looks and have stayed for their personalities. My experience has been very limited to interacting with our neighborhood corgis. My love of corgis has rubbed off on the whole family, including our children. When one of the neighborhood corgis walk by, they run out the front door to greet him. I have been doing research on the breed. I am intrigued by their intelligence and ability to do a job, whether it be herding or agility. I also like that they thrive on companionship, as we are eager to have an affectionate, active new family member. We also want a new family member that will be child-friendly. This year has been difficult for everyone and since we can’t provide a lot of normal activities for our kids, we were hoping to surprise them with a Christmas Corgi.

Activities planned with Pembroke:
 We love to go on walks both around our neighborhood and at parks. We just discovered we live near a dog park as well. In the summer, we spend a lot of time at a lake and would love to include a corgi there. Our kids like being involved, so I anticipate they’ll enjoy teaching him or her new tricks.

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: 		Gentle verbal cues and redirection. We understand how critical it is to establish and stick to boundaries.

Discipline:
 Verbal cues or temporarily remove from a situation

Where would Pembroke spend the majority of the time:
 In the house. We are working from home indefinitely. In “normal” times, one of us would be working from home at least 3 days per week.

Discipline:
 Verbal cues or temporarily remove from a situation
Where would Pembroke spend the majority of the time: In the house. We are working from home indefinitely. In “normal” times, one of us would be working from home at least 3 days per week.

House dog or outside dog?

 House dog

People at home during the day?
 Yes

Where would dog eat?
 Laundry room

Where would dog sleep:
 Our older dog sleeps with us. We would be open to our adopted corgi sleeping in a crate or other room if that’s what he or she is used to.

Play & exercise:
 Multiple daily opportunities. We will be fencing our yard this year, so that would be one opportunity to play and exercise with our older dog. I try to take a daily walk if the MN weather allows. Our kids also love playing fetch with our dog and I know they would play with their corgi brother or sister.

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 have a large front yard and small backyard that backs up to a wooded area. It is not currently fenced, but we have been planning to add one for our older dog.

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?
 Anna

Willing to train children?
 Yes

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?

 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?
 Yes

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}