Untitled_3506

Applicant IL
State: {Applicant State:2} Date of Application: 12/17/2020 Referred by: 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:
 3 years – 5 years
Gender preferred:
 Either a Male or a Female
Color preferred:
 Any color
Activity level:
 Couch Potato, Outgoing, Quiet, Other (Please describe in the box below.)

Other preferences:
 Since I am home all the time, day and night, I would like a dog that wants human companionship, petting, and being talked to.

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?

 The Pembroke is for Mary Kreiter

Why do you want a Pembroke?
 I love corgis as my daughter's friends had them and used to enter them in agility events which we all used to go to. I have also researched them, but when I see them, it always puts a smile on my face.

Activities planned with Pembroke:
 I would take her on walks in the neighborhood and play with her. I have a large basket of toys and I hope she would like them. I just like to be with them.

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: 		If the dog had an accident (wet), I would take her outside, then clean it up. If she pooped, I would take it and her outside and stay with her. I would also note when she was apt to need to go outside and take her out.

Discipline:
 If she were chewing on something that was not hers, I would take it away from her and give her a chew toy that belonged to her.
If she were barking, I would tell her "no" and try to distract her.

Where would Pembroke spend the majority of the time:
 The Pembroke would spend most of her time with me. That is why I have two LL Bean beds, one on the first floor in the living room and one upstairs in my bedroom. I also have smaller beds in the kitchen, porch and even outside in the gazebo.
I also take her with me in the car when the temperature is right. I have a pad in the back seat and a medal barrier that keeps her from getting in the front seat. I also have a seat belt for her.

Discipline:
 If she were chewing on something that was not hers, I would take it away from her and give her a chew toy that belonged to her.
If she were barking, I would tell her "no" and try to distract her.
Where would Pembroke spend the majority of the time: The Pembroke would spend most of her time with me. That is why I have two LL Bean beds, one on the first floor in the living room and one upstairs in my bedroom. I also have smaller beds in the kitchen, porch and even outside in the gazebo.
I also take her with me in the car when the temperature is right. I have a pad in the back seat and a medal barrier that keeps her from getting in the front seat. I also have a seat belt for her.

House dog or outside dog?

 House dog

People at home during the day?
 Yes, I don't work, so I am home a lot.

Where would dog eat?
 She would eat in the kitchen. I could put her water and food up on stool for her if she needed it.

Where would dog sleep:
 She would sleep in her own bed in my bedroom.Weather permitting

Play & exercise:
 When the weather is good, I will take her on a daily walk. If she just wanted out, I would take her outside.

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?
 I have an electric fence and a smaller area fenced off. My son needs to put another side and gate to the fence for a physical barrier. I would be with her or looking out the kitchen window at her.

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:

 I live in a house with a large yard on a lake. The lake is why we had an electric fence so the dog would not go in the lake. When ice is forming on the lake, a dog cannot be trusted to know it is dangerous.

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?
 Mary Kreiter

Willing to train children?
 I have no young children around. If I had company I would tell them not to touch the dog as I don't know how it acts around children.

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?
 I would try to resolve any issues between them.

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}