Untitled_3621

Applicant IL
State: {Applicant State:2} Date of Application: 02/04/2021 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:
 Outgoing, Quiet, Playful, Energetic

Other preferences:
 Our last Corgi recently died and we are hoping to be able to find two Corgis to welcome into our family…We would like one to be a puppy but are fine with another one who is a young adult or middle aged

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 two of us…to be a family pet!

Why do you want a Pembroke?
 We have had two Corgis from the time they were each 3 months old until their deaths at the ages of 15 and 13. We love the breed…their friendliness, energetic, but not hyper, fun-loving, smart,

Activities planned with Pembroke:
 Hiking, walking, playing outside, quiet indoors times,

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: 		Try to understand the reason for the mistake. Sometimes calling attention to the mistake and let him/her know what is expected instead. Sometimes redirection, training with rewards for good behavior….consistency in our training….Changing the environment for some issues….etc.

Discipline:
 Depends on what needs to be corrected…in general..Gentle but firm corrections. Praise and other Rewards for good behavior. NO physical punishing..Generally behavior mod…..may include changes in the environment ,etc. If the problem behavior is not being helped with our approach, consult with our vet or animal behaviorists to help.

Where would Pembroke spend the majority of the time:
 Wherever we are. We are both retired and like to spend time outside, but are often inside as well.

Discipline:
 Depends on what needs to be corrected…in general..Gentle but firm corrections. Praise and other Rewards for good behavior. NO physical punishing..Generally behavior mod…..may include changes in the environment ,etc. If the problem behavior is not being helped with our approach, consult with our vet or animal behaviorists to help.
Where would Pembroke spend the majority of the time: Wherever we are. We are both retired and like to spend time outside, but are often inside as well.

House dog or outside dog?

 House dog

People at home during the day?
 Yes. We are retired and usually at home or enjoying the beautiful nature near us. We have a large backyard with a couple gardens and a fenced in orchard. Our. Home borders the Waterloo State Rec. area that has many trails through wooded areas where we love to walk. We live near many lakes and if our Corgi loved the water, that would be nice…but not essential.

Where would dog eat?
 In the kitchen

Where would dog sleep:
 Probably in our bedroom.

Play & exercise:
 Plenty of opportunities to play and exercise!!

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 large tall orchard fence…some shaded areas. In the past we built a “Corgi playpen” in the very large garden we had in our old home in Wisconsin…this area had water dishes and toys and some additional shade. We would probably do the same here ( we have only lived in this house for 2 years.)

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 2 acres…bordered by woods and friendly neighbors. A large fenced in orchard. We live on a dead end road across the street from a lake. A few gardens.

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?
 Lee…but we will share the care pretty evenly

Willing to train children?
 We will love to do that when we get grandchildren whoever that may be.

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?
 Absolutely

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}