Untitled_3797

Applicant IL
State: {Applicant State:2} Date of Application: 05/13/2021 Referred by: Other
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:
 Black Headed Tri, Sable & White
Activity level:
 Couch Potato, Outgoing, Quiet, Playful, Energetic, Very Active

Other preferences:
 We need a dog that likes to ride in a car. We have a cabin about 1.5 hours north and make frequent trips there.

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?

 Both of us. We are 79 and 76 years old, and our parents lived to about 90. We've decided it would be unfair to get a Corgi puppy that might well outlive us. So adopting an older Corgi seems like a great idea.

Why do you want a Pembroke?
 I had a Pembroke Welsh Corgi named Sir Gallahad (Sir-G) when I was a boy. He was a wonderful dog: friendly, loving, playful, energetic and obedient. We've had three Border Collies (about 30-40 years ago) so we have experience with the herding instinct.

Activities planned with Pembroke:
 Playing ball or frisbee. Walking – about 30 minutes. There is a woods nearby with nice trails where there's an opportunity to run off-leash under just voice control. Dogs adore this. Snuggling while reading or watching tv.

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: 		Clear, concise voice command in a fairly normal tone of voice at the time of the offense (e.g. off, stop, get down).

Discipline:
 Voice commands, gestures (e.g. pointing), occasional time-out.

Where would Pembroke spend the majority of the time:
 Inside our home.

Discipline:
 Voice commands, gestures (e.g. pointing), occasional time-out.
Where would Pembroke spend the majority of the time: Inside our home.

House dog or outside dog?

 House dog

People at home during the day?
 Yes. We are both retired so someone is usually home.

Where would dog eat?
 Kitchen.

Where would dog sleep:
 Own bed, probably in our bedroom.

If the dog we adopt is accustomed to a kennel, it would probably be best to continue this. So some of the answers to questions above would be different, and dog would probably sleep in its unlocked kennel.


Play & exercise:
 One ~30 minute walk every day. Several play sessions each day.

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?
 About 20 X 40 ft, 4 ft high.

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:

 The house is on a 200-ft lot. There is a 25 X 25 vegetable garden and several perennial rock gardens. The rest is grass.

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?
 Herb

Willing to train children?
 Our youngest grandchild is 16. All five know how to treat animals.

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}