Untitled_3997

Applicant IL
State: {Applicant State:2} Date of Application: 10/16/2021 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:
 Male
Color preferred:
 Any color
Activity level:
 Couch Potato, Outgoing, Quiet, Playful, Energetic

Other preferences:
 We currently have a 4 year old, male Pembroke Welsh Corgi. We have a fenced in back yard.

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 are looking to add another Corgi to our family.

Why do you want a Pembroke?
 We have always loved the breed. They are adorable with such unique personalities. We currently have a male, Pembroke Welsh Corgi. We got him when he was a puppy. We have experience with house training and obedience training. We live in a single family home with a large, fenced in back yard.

Activities planned with Pembroke:
 We like to play fetch with our Corgi. We like to run around the back yard. We also like to snuggle up at night with our corgi.

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: 		Dogs are never perfect. Mistakes are a part of life. Any accidents can be easily cleaned up. We believe in positive reinforcement, not yelling at incorrect behavior.

Discipline:
 We gently say ah-ah if the dog is doing an incorrect behavior. See the answer above too.

Where would Pembroke spend the majority of the time:
 In the home and in the backyard with me (Kaleigh). My husband also works from home 2-3 days a week.

Discipline:
 We gently say ah-ah if the dog is doing an incorrect behavior. See the answer above too.
Where would Pembroke spend the majority of the time: In the home and in the backyard with me (Kaleigh). My husband also works from home 2-3 days a week.

House dog or outside dog?

 House dog

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

Where would dog eat?
 We have an open concept kitchen and living room. Our current dog is fed in the living room. If there would ever be a conflict with food, the bowls would be separated. We have a laundry room next to the kitchen that has a door which could be used. We feed 2x a day. We do not free feed.

Where would dog sleep:
 Our current Corgi sleeps on the king size bed with us. He also has a bed on the floor in the bedroom that he can sleep on. There is also a bed in the living room for naps and relaxation during the day.

Play & exercise:
 We have a open concept home. We have plenty of toys to play fetch and chew on. We are outside at least 4 times throughout the 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?
 We have a large fenced in back yard. The fence is a 4ft tall, aluminum fence.

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 fenced in back yard. We do not have a pool or any water features outside of a bird bath. We have a patio.

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?
 My husband and I share responsibility equally

Willing to train children?
 Yes. My sister has a child who we have helped teach how to behave around our dog.

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}