Untitled_3433

Applicant IL
State: {Applicant State:2} Date of Application: 11/15/2020 Referred by: Friend
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:
 Sable & White
Activity level:
 Outgoing, Quiet, Playful, Energetic

Other preferences:
 I am really not looking for a puppy I am 59 and kinda over the puppy stage. But am willing to put time into training a younger dog if needed.

Color is really not a thing either but my Mac was a Very light red white maybe Sable white so am a little fond of the color.

Am thinking a smaller weighted dog due to my age and having to pick them up. If possible my Mac was 32 pounds and that was very doable.


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?
 11 years ago adopted a full blooded Pembroke from my local shelter, he was my dog, friend and pal till a little over a month ago. When I lost him to old age.

Activities planned with Pembroke:
 I am retired from my city job as of March but still live on an active farm with my husband. We have Simental beef cows and a few horses. I also have a cabin on a lake property that I visit weekly in the summer to camp, fish and relax. Would love to have a dog to join me.

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 have always used verbal commands and treat enforcement for training. They learn your tone if you are not happy with them quickly – stern NO has always worked well for me. Then start again to obtain correct response.

Discipline:
 Verbal

Where would Pembroke spend the majority of the time:
 With me

Discipline:
 Verbal
Where would Pembroke spend the majority of the time: With me

House dog or outside dog?

 House dog

People at home during the day?
 yes

Where would dog eat?
 in the back room/laundry room

Where would dog sleep:
 their choice of the house – excluding our bed

Play & exercise:
 I am in and out of the house several times of the day, to the barn and back. My mother in law (84) lives next door I visit her daily or more. In the Spring through early Fall I go to the cabin weekly. And I would expect the dog to come along. I also have 9 grandchildren so the household can be busy – play and opportunity for exercise should not be an issue.

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:

 Small 2 story 3 bedroom farm house. No pool or lake at this house. Some fence but yard is not fenced in. We are rural live on a 40 acres section of our 120 acre farm. We have large tractors and machinery as well as livestock (cows and horses).

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?
 Stacy

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}