Untitled_3448

Applicant IL
State: {Applicant State:2} Date of Application: 11/20/2020 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:
 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, Quiet, Playful

Other preferences:
 Housebroken, minimal separation anxiety, able to travel by car with us, OK with other small dogs. (our daughter has a Yorkie and we visit her 4 times a year)

We would consider 2 dogs if there is a bonded pair – we have often had 2 dogs in the past


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 personal pet

Why do you want a Pembroke?
 We have researched the breed. We have always owned "herding dogs" – rough coat collie, Old English Sheepdogs. We are now in our 60's, and we don't feel we should have another 60+ lb dog as we need to be able to pick a dog up if necessary. We like their loyalty and playfulness and are accustomed to having dogs groomed and caring for longer haired breeds. We want a snuggle bunny. We also understand that a new dog may need additional house training when they go into a new home

Activities planned with Pembroke:
 We have a large fenced yard with a "handicap dog ramp" off our deck – which is only about 12" off ground level. We live in the country but there are subdivisions near us and lots of sidewalks. We like playing in the yard with our dogs, going for walks and taking them with us in the car to the pet store and home improvement store. We need a dog that walks well on a leash

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: 		We never yell at a dog. We patiently correct the dog and seek to reward it when they exhibit good behavior

Discipline:
 A stern voice then re-directing the dog to acceptable activities, rewarding good behavior to re-enforce it for the future.

Where would Pembroke spend the majority of the time:
 In our home and yard

Discipline:
 A stern voice then re-directing the dog to acceptable activities, rewarding good behavior to re-enforce it for the future.
Where would Pembroke spend the majority of the time: In our home and yard

House dog or outside dog?

 House dog

People at home during the day?
 Most days one of us is home. There may be 2 days per week when we are both gone for 6-8 hours

Where would dog eat?
 In our home! We have a tiled area

Where would dog sleep:
 The dog can sleep in the bed with us or in their crate

Play & exercise:
 We play with our dogs all the time – throwing the ball in the yard, walking the neighborhood. We provide lots of toys and interaction

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?
 We have a large ranch home on 1 acre of land with a fully finished basement – 3400 square feet total – 4 bedrooms, 3 baths

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:

 Fully fenced, 2 sheds, hot tub (also fenced), large deck, brick 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?
 both Michael and Sue ANn

Willing to train children?
 not applicable

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?

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}