Untitled_3735

State: {Applicant State:2} Date of Application: 04/03/2021 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
Gender preferred:
Either a Male or a Female
Color preferred:
Red & White
Activity level:
Outgoing, Playful, Energetic

Other preferences:

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?

Me!

Why do you want a Pembroke?
What I love about this breed is their similarities to larger breeds but in a smaller package! I have met several Corgis and they seem to have a loyal, loving and happy temperament. They seem to be great companions which is important to me. I have researched the breed and am aware of their potential health concerns. I am also aware of the training needed to curb their herding tendencies and maybe even stairs training!

Activities planned with Pembroke:
Walks, jogs, fetch, playing with other puppies

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:
I would be patient and understanding. From what I have read, it is important that negative reinforcement is not too harsh as Corgi's are a "sensitive" breed. I am very sensitive person by nature so I feel I would have no problem being mindful of this.

Discipline:
I would need to learn more about what is appropriate for the Corgi. I have owned labs and retrievers in the past so what I know about discipline may not be what is best for my new Corgi friend.


Where would Pembroke spend the majority of the time:
With me! And at home and outdoors.

Discipline:
I would need to learn more about what is appropriate for the Corgi. I have owned labs and retrievers in the past so what I know about discipline may not be what is best for my new Corgi friend.
Where would Pembroke spend the majority of the time: With me! And at home and outdoors.

House dog or outside dog?

House dog

People at home during the day?
No. But I would be willing to consider a pet service to engage with the puppy during my workday if it was essential to the dog's happiness.

Where would dog eat?
At home?

Where would dog sleep:
I would likely get a dog bed for the Corgi but I would be open to whatever is most comfortable for it!

Play & exercise:
I'm pretty active. I enjoy jogs, bike rides (obviously not with the dog), walks, etc. My Corgi would get probably 5-10 hours of exercise per week.

How will you exercise your dog?
On leash

Fenced yard?

No, I don’t have a fenced in yard.

Willing to pick up dog waste?
Yes, I will clean up after my dog.

Willing to use a crate?

Living arrangements:
Rent/lease 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?
Yes, you may contact my landlord.

Lease allow dogs:
Yes, my lease permits dogs.

Landlord permission:
No, my landlord has not given me permission to adopt a Pembroke

Restrictive covenants?
No, the condo covenants do not prevent me from having a dog.

Breed/size restrictions?
Yes

Description of yard:

I do not live in a house

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?
Me

Willing to train children?
I do not have 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?


Are you willing to work on it if your new dog doesn’t get along with your current pets right away?
N/A

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}