Untitled_3985

Applicant IL
State: {Applicant State:2} Date of Application: 10/03/2021 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:
 0 months – 1 year (we rarely get dogs in this age group), 1 year – 3 years
Gender preferred:
 Either a Male or a Female
Color preferred:
 Any color
Activity level:
 Couch Potato, Quiet, Playful, Energetic

Other preferences:
 We have a 6-month-old Puggle/terrier mix who is in regular training classes and is very good with dogs, cats, and children. She goes everywhere she can with us and would love to have a friend. We train our dog in weekly group training classes. And would do the same with another lovable fur baby.

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?

 For our family: Emily (me), my husband, Adam, and our two children, Brianna and Brad (ages 9 and 10)

Why do you want a Pembroke?
 We love the look of the corgi. And we do well with smaller to medium sized breeds. We enjoy dogs that are social and like people and other dogs. We love to snuggle up on the couch with our dog at the end of a day of play and spend quality time together. We love dogs that enjoy being with us, cuddled, petted, interactive.

Activities planned with Pembroke:
 Dog training, dog park, walks, playing in the yard, car rides, outdoor restaurants, kids soccer games, visits to the park.

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: 		Redirect behavior

Discipline:
 Redirect behavior, make sure we always have structure and that we communicate clearly with our dog so he or she knows what to do.

Where would Pembroke spend the majority of the time:
 With us, our family, in and around our home, on walks, at the dog park, sometimes would visit the office with me as well.

Discipline:
 Redirect behavior, make sure we always have structure and that we communicate clearly with our dog so he or she knows what to do.
Where would Pembroke spend the majority of the time: With us, our family, in and around our home, on walks, at the dog park, sometimes would visit the office with me as well.

House dog or outside dog?

 House dog

People at home during the day?
 Yes, depending on the day. If the dog needs to be crated, someone is here to let the dog out after a short time. We make sure we don't leave our dog alone too long during the day.

Where would dog eat?
 In our home out of a clean dog bowl in the kitchen.

Where would dog sleep:
 In a crate.

Play & exercise:
 Dog park, walks, play in our home with our family. Several hours of play and exercise daily.

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:

 We have a five acre yard on a gravel road on our farmland. In summer we put up an above ground pool that cannot be accessed by a dog. Though we do not have a fence, we keep our dog leashed at all times in our yard. Our current dog is only unleashed at the dog park.

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?
 Emily

Willing to train children?
 Yes

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

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}