Untitled_3475

Applicant IL
State: {Applicant State:2} Date of Application: 12/01/2020 Referred by: Website, Other
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, 10 years +
Gender preferred:
 Either a Male or a Female
Color preferred:
 Any color
Activity level:
 Couch Potato, Outgoing, Quiet, Playful, Energetic

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?

 This Pembroke is for me. I adopted thru your organization in October 2009, Abby. I recently lost 14 year old Abby to kidney failure. She was a wonderful corgi and I couldn't have asked for a better companion and friend.

Why do you want a Pembroke?
 I have had 3 Pembroke Welch Corgi's. The first was a puppy in 1991. Sandy was her name. She was with me until 2005 when she died of kidney failure. My second corgi was Dusty, a rescue from a shelter in Rock Island, IL in 2005. He had some medical issues which the vet said he had probably been a puppy mill puppy. Dusty was with me until early 2009 when the medical issues took over and he couldn't fight them any longer. I adopted Abby in October 2009 thru Lakeshire PWC Rescue, Inc. when she was 4 year old. I drove to Pottersville, Michigan to pick her up from Brenda Franklin who was fostering her. Abby was a wonderful companion for me. She fit right into my home. I lost her not too long ago to kidney failure, she was 14 years old.

Activities planned with Pembroke:
 We would take many walks. The Pembroke would be carefully introduced to my granddaughters. They have been with dogs and act properly with the corgi. There would be play time in the back yard.

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 show the Pembroke the mistake. I would speak gently but firmly to him saying NO relaying in my voice sound disappointment at what he had done. I would then take them out and away from the accident. If I find the accident after the fact and the dog is not around I would just clean it up without trying to bring the dog back to the scene of the accident.

Discipline:
 I discipline the dog only if I catch it in the act of doing something wrong. I never scold him after the fact. I speak gently but forcefully to him to let him know what he did was wrong. There are treats given only for good behavior, I give lots of praise when he does something right. I make sure the dog has his own toys for playing. I give the dog a lot of attention and do not ignore them or leave them alone.

Where would Pembroke spend the majority of the time:
 The Pembroke would be with me. I am retired and spend a lot of time at home. The dog would be with me everywhere in the house and not confined just to a certain area of the house. He would have lot of his own areas around the house and have his own kennel.

Discipline:
 I discipline the dog only if I catch it in the act of doing something wrong. I never scold him after the fact. I speak gently but forcefully to him to let him know what he did was wrong. There are treats given only for good behavior, I give lots of praise when he does something right. I make sure the dog has his own toys for playing. I give the dog a lot of attention and do not ignore them or leave them alone.
Where would Pembroke spend the majority of the time: The Pembroke would be with me. I am retired and spend a lot of time at home. The dog would be with me everywhere in the house and not confined just to a certain area of the house. He would have lot of his own areas around the house and have his own kennel.

House dog or outside dog?

 House dog

People at home during the day?
 I am retired, I live alone and I am home all day.

Where would dog eat?
 The food and water bowl would be in the kitchen.

Where would dog sleep:
 My other corgi's have slept in their kennels at night. That is where they have seemed to want to be.

Play & exercise:
 There would be plenty of play and exercise time in the yard and walks around the neighborhood.

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 is a six foot tall chain link fence.

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?
 No, the condo covenants do not prevent me from having a dog.

Breed/size restrictions?
 No

Description of yard:

 there are no swimming pools in my yard area there are no dangerous areas in the yard area

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, Sylvia Keene

Willing to train children?
 I have 2 granddaughters, ages 7 and 3. They have always been around my corgi Abby and have been taught how to interact with dogs.

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 I am willing to resolve any problems if they arise.

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}