Untitled_3727

Applicant IL
State: {Applicant State:2} Date of Application: 03/31/2021 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
Gender preferred:
 Female
Color preferred:
 Any color
Activity level:
 Outgoing, Playful, Energetic

Other preferences:

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?

 Me

Why do you want a Pembroke?
 I currently have a corgi ,who will be 14 years old in August, love her very much. My mother and friends of mine also have corgis that we take for walks and socialize them. They are so much fun to play with,they also love to swim and be included with the all the action going,but then they have their quite time where they like to cuddle next to you on the couch. Every corgi I met has also had their very own unique personality, never the same. I enjoy this breed in so many ways and can't imagine my life without my little corgi.

Activities planned with Pembroke:
 Walking ,swimming, playing fetch or tug, or just let her play in the yard with other dogs

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 you catch them in the act of the mistake, I just sternly say no ,and try to show them the correct way. I don't believe in correctin them after the fact

Discipline:
 I haven't had to discipline her very much at all ,but for example she can take things to aggressively out of my hand and sometimes bite me,so when I give her a treat I sternly tell her to take it nice,and make her sit before giving it to her,and that works

Where would Pembroke spend the majority of the time:
 In my house

Discipline:
 I haven't had to discipline her very much at all ,but for example she can take things to aggressively out of my hand and sometimes bite me,so when I give her a treat I sternly tell her to take it nice,and make her sit before giving it to her,and that works
Where would Pembroke spend the majority of the time: In my house

House dog or outside dog?

 House dog

People at home during the day?
 Its just me and my dog and when I work my neighbors across the street comes over and let's her out and sometimes, walks with her dog

Where would dog eat?
 Kitchen or cage wherever they feel more comfortable

Where would dog sleep:
 If house broken ,they can sleep wherever they like my corgi usually sleeps under my bed ,sometimes in bed with me ,but she gets too hot and jumps down

Play & exercise:
 Regularly going for walks or playing in the house or yard

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?
 Metal chain link fence goes around backyard ,but there is an opening between the garage and deck

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 deck

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?
 Corinne De Moulin

Willing to train children?
 Have no 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?

 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, my dog is very food motivated so I know I have to feed them far apart

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}