Untitled_3858

Applicant IL
State: {Applicant State:2} Date of Application: 07/01/2021 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, 3 years – 5 years
Gender preferred:
 Either a Male or a Female
Color preferred:
 Red & White, Red Headed Tri, Sable & White
Activity level:
 Outgoing, Quiet, 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?

 A pet for our family.

Why do you want a Pembroke?
 We had a Corgi/Pom mix rescue for 9 years. She was wonderful. She sadly recently passed away in April 2021. Throughout our time with her, we fell in love with the Corgi breed, and began to do further research on pure bred Corgis. We are looking for another lovable family pet, one that is playful and loyal. We feel that our research (and experience with a "half" Corgi) has led us to seek out the Corgi breed specifically.

Activities planned with Pembroke:
 Our single-family home has a large, fully fenced-in backyard in a fairly quiet neighborhood in the southwestern Chicago suburbs. We have always enjoyed taking our dog on leashed walks around the neighborhood sidewalk blocks, as well as enjoying cuddle time and playtime outside in the backyard.

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: 		Re-direction, followed by coaxing with proper behavior that can be rewarded. Not yelling or screaming, but guidance away from the mistake.

Discipline:
 Nothing aggressive or forceful. Perhaps a startling clap, or stern NO. But NEVER physically aggressive.

Where would Pembroke spend the majority of the time:
 Mostly in the house with the family as a loved family pet.

Discipline:
 Nothing aggressive or forceful. Perhaps a startling clap, or stern NO. But NEVER physically aggressive.
Where would Pembroke spend the majority of the time: Mostly in the house with the family as a loved family pet.

House dog or outside dog?

 House dog

People at home during the day?
 Yes, most days.

Where would dog eat?
 We have a corner area in our kitchen that we use as the dog's feeding station.

Where would dog sleep:
 On the floor of our bedroom, or in the bed with us (if the dog is inclined to want to do that).

Play & exercise:
 We are fairly committed to daily walks in the neighborhood, and would love to take the Corgi on leashed walks. Also we have a large, fully fenced-in backyard that the Corgi can run around and play in.

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?
 It is a 5-foot high vinyl, wide-picket fence. The spacing between the slats is only about 2-3 inches wide (not wide enough to even get a snout through). The fence extends all the way down to the grass, only about 1-2 inches of space underneath.

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 a large, fully fenced-in backyard. We also have a swimming pool, but it is above-ground and only can be accessed with the pool ladder. We have a small deck off the back of the house, with 2 steps down to the lawn. (The deck is separated from the pool.)

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?
 Laura

Willing to train children?
 We have owned two dogs (one at a time) in the last 25 years. Our first family dog (purebreed Pomeranian) from 1996-2010, and our second family dog (Corgi/Pom mix rescue) from 2012-2021. Our children grew up with our dogs, and they are all old enough now to responsibly participate in the family care of 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}