Untitled_3537

Applicant IL
State: {Applicant State:2} Date of Application: 12/31/2020 Referred by: Breeder
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:
 0 months – 1 year (we rarely get dogs in this age group), 1 year – 3 years, 3 years – 5 years
Gender preferred:
 Either a Male or a Female
Color preferred:
 Any color
Activity level:
 Couch Potato, Outgoing, Playful, Energetic

Other preferences:
 Must get along with other dogs, cats etc

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?

 for my husband and I

Why do you want a Pembroke?
 (note- it would take forever to list all of the dogs I have do/ever owned. I have bred Newfoundlands & a litter of Corgis. I also worked with rescue groups and over the years have had many rescues that I fostered and several that I kept, etc) I got my first Corgi back in the 90's from Bob & Adrienne Saffel with a cownership. After breeding Ribbon from the contract I kept a male puppy, Reebok. He did carting and TDI work with my male newfie. My daughter who acutally coowned with the Saffels and I , after Ribbons passed, ended up with a rescue corgi that came into the vet hospital that i worked at, my son currently has a 2 yr corgi that I babysat for when he was a puppy so I could housebreak him…i would love to get involved with TDI work and carting again with a corgi

Activities planned with Pembroke:
 a family member first and formost
TDI work
carting

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: 		verbal correction

Discipline:
 verbal….reshow what is expected….replace the bad behavior with a good behavior

Where would Pembroke spend the majority of the time:
 in the house with us

Discipline:
 verbal….reshow what is expected….replace the bad behavior with a good behavior
Where would Pembroke spend the majority of the time: in the house with us

House dog or outside dog?

 House dog

People at home during the day?
 yes, both my husband and I as we are retired

Where would dog eat?
 in the kitchen

Where would dog sleep:
 in my bedroom

Play & exercise:
 we own 5 acres, with a fenced in back yard, currently our pond is in another section of the yard and that will be fenced in next summer for the newfs to swim in

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?
 ky 3 board with wire….we have ducks and other dogs so we keep an eye on the fence to make sure there are no escape routes in it!

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:

 5 acres….half we just fenced in, the other half with the pond will be fenced in next summer, we have a fenced in pool area,…it is a private street so the only traffic that comes and gos is the neighbors….one story with a finish basement

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 my husband and i

Willing to train children?
 my grandson comes here twice a week to spend the night, he has not only gown up with his own GSD and Corgi, but also my Newfs and yorkie, birds etc

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?
 never had a problem in the past as I am used to different dogs coming into my household as I have fostered or handraised many types of dogs, cats and wildlife ….my current animals are used to others coming here…..over the years I have learned how to handle a problem if one arises…

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}