Untitled_3800

Applicant IL
State: {Applicant State:2} Date of Application: 05/18/2021 Referred by: Friend
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:
 Any color
Activity level:
 Couch Potato, Outgoing, Quiet

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?

 My husband and I

Why do you want a Pembroke?
 My husband and I have owned 2 Corgis. Winnie lived to be 16, and Duncan 13. My daughter also has owned 3 corgis, so we are a Corgi family. I can't let a Corgi go by without greeting it. We lived in England for awhile and fell in love with the breed. A big dog in a little dog body. We even go on Disapproving Corgi's to get our Corgi fix.
they have lots of personality; they're smart, excellent companions, sturdy, and inquisitive.

Activities planned with Pembroke:
 Walk, play ball, swimming, dog parks, boating.

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 he/she went to the bathroom, I would take him outside and reward him for going outside. If he/she chewed on something, I would remove it. If he/she jumped up on someone, I would hold him back and reward him for not jumping up.

Discipline:
 Disappointed voice, or stern voice if he/she is doing something dangerous. Mostly vocal corrections, and then rewards if the behavior is corrected.

Where would Pembroke spend the majority of the time:
 In the house. Usually with us, but not on the bed or furniture.

Discipline:
 Disappointed voice, or stern voice if he/she is doing something dangerous. Mostly vocal corrections, and then rewards if the behavior is corrected.
Where would Pembroke spend the majority of the time: In the house. Usually with us, but not on the bed or furniture.

House dog or outside dog?

 House dog

People at home during the day?
 Yes. We are both retired.

Where would dog eat?
 In the kitchen.

Where would dog sleep:
 In our bedroom on his bed.

Play & exercise:
 We would walk him/her twice a day. We often would go to a dog park, or to the County parks that allow dogs. We are by a lake, so if the corgi likes to swim, we would let him/her do that. We have a big yard, so ball playing is also an option.

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:
 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:

 Our back yard is 200×60' and is bound by the lake,a wall of trees, the house, and the neighbor's yard. We don't have a swimming pool, and the lake is very shallow at the shore. The front yard is smaller but has a rock wall and steps that separate it from the street.

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?
 Jerry and Amy

Willing to train children?
 Our granddaughter lives in Portland, OR. but when she visits I know she will be wonderful with a dog. She has owned 2 dogs since she was born.

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?
 We have no other pets. Even our turtle died a few months ago!

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}