Untitled_3893

Applicant IL
State: {Applicant State:2} Date of Application: 07/28/2021 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, 5 years – 10 years
Gender preferred:
 Female
Color preferred:
 Any color
Activity level:
 Quiet, Playful, Energetic, Very Active, Other (Please describe in the box below.)

Other preferences:
 Last year we had to put down our beloved lab due to arthritis and old age. It was hard on the kids. While we would love to give a senior dog a home some day, having to go through that again any time soon would be hard.

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?

 Our family.

Why do you want a Pembroke?
 We have three young daughters, ages 7, 5, and 3. We'd love to have a smaller, affectionate dog to add to our family. Our current dog, Beau, would also benefit from another dog in the family. I have done some research of the breed and am impressed with dogs I have known from other families. They are loyal, silly, and affectionate, all great qualities in a dog!

Activities planned with Pembroke:
 We have 2.5 acres that has an electric fence around. Our dog, Beau, gets plenty of exercise every day running laps around the yard chasing squirrels. We also live on a farm and the dogs join us for chores (chickens and cattle) and occasionally hop in the truck with my husband for coffee at the shop or in the tractor for a ride. There are two other dogs as well on the farm that belong to family members, so it's important for our next dog to play well with others! The most important thing, though, is for our next dog to get along well with small kids. We do not want any dogs who might show aggression. Because I am a stay-at-home-mom our dogs are rarely left alone.

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: 		As in accident? We say "no", and quickly take the dog outside. Hope to catch them in the act so they can finish outside. Then praise if they go outside.

Discipline:
 Most often a stern "no" works fine. I have also used a spray water bottle on a dog that wouldn't stop jumping on people. We prefer good training and lots of praise for doing the right things.

Where would Pembroke spend the majority of the time:
 Split time between napping in the house or exploring our large yard.

Discipline:
 Most often a stern "no" works fine. I have also used a spray water bottle on a dog that wouldn't stop jumping on people. We prefer good training and lots of praise for doing the right things.
Where would Pembroke spend the majority of the time: Split time between napping in the house or exploring our large yard.

House dog or outside dog?

 House dog

People at home during the day?
 Yes, I am a stay at home mom.

Where would dog eat?
 Our current dog is fed in the mudroom.

Where would dog sleep:
 Probably in a crate until well acclimated, then on a dog bed in the house.

Play & exercise:
 There are lots of opportunities for play and exercise on the farm. There is almost always someone outside to throw a ball or stick as well.

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 an electric fence surrounding about 2 acres.

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 yard with about a third of it being deciduous and evergreen trees. We also have a vegetable and flower garden. We have an above ground swimming pool that is gated. There is a chicken coop that is fenced in for the chicken's protection. There is a cattle shed but that is beyond the electric fence border.

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?
 Erin, mother

Willing to train children?
 Yes, we do this daily.

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 but we hope to get a dog that has a natural tendency to get along well with others. We understand that there will always be a "getting used to each other" period with new animals.

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}