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Applicant IL
State: {Applicant State:2} Date of Application: 01/26/2021 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:
 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:
 Outgoing, Playful, Energetic

Other preferences:
 We have a large back yard and is 3/4 fenced in. Planning on getting that final gate this summer. Plenty of room for fetch and zoomies. Easy ranch with 3 steps for short little legs and open floor plan for when it’s too cold for outside zoomies!

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?

 2 person household. Married couple. No kids now but possibly in the next 3-5 years.

Why do you want a Pembroke?
 I have researched them and fell in love with everything about them. How social they are and how much they love attention (just like me!) love their size as it seems perfect for a 1500 sq foot ranch. Love the friendliness as we love having friends and family over. Rumor has it that they are smart too, which would be so fun for teaching fun tricks and watching them problem solve.

Activities planned with Pembroke:
 Short but frequent walks. Plenty of room on this couch for a friend that wants continual head scratches (and will probably need to be brushed as we wind now at night!) and attention. I am able to work from home here and there and my husband starts much earlier than me and gets off earlier so someone will be home 18 hours a day or more depending on if I work from home that day. We have visitors a lot (though not much because of covid) so lots of friends around as well.

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 believe our style would be similar to the positive reinforcement style. Teaching the dog the right thing to do. Would likely teach to sit and stay if around items they aren’t allowed to touch. Firm comments. Also making sure they’ve always got items and friends to enjoy so there’s less time for mischief.

Discipline:
 Likely firm and clear no, and take an item away or make sure they’re moved away from the item they aren’t supposed to touch. I believe presenting them with a toy or item to replace the trouble they’ve been getting into.

Where would Pembroke spend the majority of the time:
 Our living room

Discipline:
 Likely firm and clear no, and take an item away or make sure they’re moved away from the item they aren’t supposed to touch. I believe presenting them with a toy or item to replace the trouble they’ve been getting into.
Where would Pembroke spend the majority of the time: Our living room

House dog or outside dog?

 House dog

People at home during the day?
 Sometimes from 8:30 to 3:30 we are gone. I leave at 8:30 if I’m in the office that day. Husband usually is home by 3:30.

Where would dog eat?
 We would likely keep their bowl in the living room as there’s a nice corner for them to have some room to eat undisturbed.

Where would dog sleep:
 We would purchase a bed and crate but keep the crate open at night. And would just go in there if they need! We would keep our bedroom door open as well.

Play & exercise:
 I often go on walks at lunch when I work from home. We are regularly outside as long as it’s 40 degrees plus and our pet could be with us.

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?
 Our fence is 4 feet tall. We are missing gates. We plan on putting the gates in this summer.

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:

 Large grassy area (I can provide pics of needed.) Garage. Black top. We plan on putting a deck in eventually.

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?
 Kelly

Willing to train children?
 Absolutely.

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, and I don’t plan on them interacting much, as tink and diesel stay in their bedroom except for special occasions where they get to race down the hallway to get a bath 😉 diesel likes to walk on a leash here and there, but since they could get lost in our reclining couch, we don’t let them roam. Can provide pictures of their bedroom and gate

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}