Untitled_3487

Applicant IL
State: {Applicant State:2} Date of Application: 12/06/2020 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, Playful

Other preferences:
 Must get along with other dogs. I have 2 Guinea pigs as well but their cage is in the office with the door closed

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?

 It is for me (Rachel). My boyfriend (Donnie) and I bought a house and live together. I have a rescued Dalmatian and am looking for a friend for her!

Why do you want a Pembroke?
 I love their attitudes and personalities. I know they can be a lot but I love them. One of my good friends has one and just got a second one. My dog has met hers and they got along great. I’ve worked at dog daycares in the past and have met many breeds of dogs and have always loved corgis and hope to add one to the family!

Activities planned with Pembroke:
 Walks, hikes, playing in the fenced in back yard. Snuggles on the couch. Playing fetch. I will take/do any that the dog likes to do. We spend a lot of time outdoors especially in the summer.

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: 		Calmly correct. I’ve always used positive reinforcement for all training. And keeping a cool head and not freaking out at the dog are key

Discipline:
 I ignore/give no attention to bad behaviors. I do not hit. If really bad I will give my dog a time out in the spare bedroom to let her calm down

Where would Pembroke spend the majority of the time:
 In a kennel (if it needs to be kenneled) when we are gone. Otherwise out in the house with us or in the backyard.

Discipline:
 I ignore/give no attention to bad behaviors. I do not hit. If really bad I will give my dog a time out in the spare bedroom to let her calm down
Where would Pembroke spend the majority of the time: In a kennel (if it needs to be kenneled) when we are gone. Otherwise out in the house with us or in the backyard.

House dog or outside dog?

 House dog

People at home during the day?
 Some days but not every day

Where would dog eat?
 In the kitchen or kennel depending on if he/she is weird with food around other dogs

Where would dog sleep:
 With us in bedroom. Either in bed or on dog bed next to bed

Play & exercise:
 Every day. If not a walk, atleast running around in the backyard. And hikes on our days off

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?
 A 4ft chain link fence. Will eventually be replaced with 6ft privacy fencing

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 an above ground swimming pool. It’s square shaped. We have a second story deck as well

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?
 Rachel Koebert

Willing to train children?
 We have no kids but if we do then 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}