Untitled_3596

Applicant IL
State: {Applicant State:2} Date of Application: 01/22/2021 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
Gender preferred:
 Either a Male or a Female
Color preferred:
 Red & White, Red Headed Tri, Black Headed Tri, Sable & White, Any color
Activity level:
 Outgoing, Quiet, Playful

Other preferences:
 We have never been dog owners before. We have talked with Jim before and he is familiar with our situation. We are very caring people and love animals. We are financially stable and can handle the expenses of having a dog.

Previous dog owner?
 No
 
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?

 We are looking for a family dog. My twelve year old daughter Hannah would be the primary care taker and I would be the secondary care taker.

Why do you want a Pembroke?
 So cute. We have done lots of research on the breed. I also like the temperament.

Activities planned with Pembroke:
 We would go on walks and run with it. We live in a neighborhood that has many dogs. We live near a park with a big field. We also live two blocks from Lake Michigan and can take the dog to the beach before hours. We also play softball and would love to throw the ball for the dog every day.

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?

 No

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: 		Be firm but caring and gentle. We would get the help of a professional trainer.

Discipline:
 Since we haven’t had a dog before, we would need to learn these methods from a professional. We also have many friends who have dogs.

Where would Pembroke spend the majority of the time:
 We have a three floor house, with a yard. The dog would be mostly on the first floor since we do not have carpeting on the stairs. If this were a significant issue we could find a way to carpet the stairs, or get treads. Since we have a fenced in yard, the dog could spend as much time as they wanted outdoors.

Discipline:
 Since we haven’t had a dog before, we would need to learn these methods from a professional. We also have many friends who have dogs.
Where would Pembroke spend the majority of the time: We have a three floor house, with a yard. The dog would be mostly on the first floor since we do not have carpeting on the stairs. If this were a significant issue we could find a way to carpet the stairs, or get treads. Since we have a fenced in yard, the dog could spend as much time as they wanted outdoors.

House dog or outside dog?

 House dog

People at home during the day?
 We do not have people home during the day. Since the pandemic, the kids and my spouse have been at home. But I work four days a week outside of the house. Once the pandemic is over, we will all go back to our normal schedules of school and work

Where would dog eat?
 In the kitchen

Where would dog sleep:
 I think this would depend on the dogs personality.

Play & exercise:
 We would have no problem taking it for walks in the morning in the afternoon and evening. We could hire a dog walker for the middle of the day if we needed to.

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’s a mixture of a wooden fence and a chain-link fence on different sides. It’s a little hard to explain. There’s one little section that would need to be repaired, but that wouldn’t be a problem.

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 a fenced in yard that is large, with a deck and a garage. We also have a screened in porch that we hang out in a lot during nicer weather. We are in the process of trying to get a hot tub for the deck. There would be locked cover on the hot tub.

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?
 Hannah

Willing to train children?
 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?
 No issue

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}