Untitled_3998

Applicant IL
State: {Applicant State:2} Date of Application: 10/16/2021 Referred by: Website, 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:
 Any age
Gender preferred:
 Either a Male or a Female
Color preferred:
 Any color
Activity level:
 Couch Potato, Outgoing, Quiet, Playful, Energetic

Other preferences:
 Comfortable with older children and other dogs.

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?

 Primarily as a companion for my dad Jerry. 84 years young. Lost his chocolate Labrador to cancer 2 years ago and is ready for a new companion. Looking for a smaller dog that is as loyal and loveable as she was. Myself and my husband are my dad's daily helpers and will be the co owners of the new family member.
We have always had larger dogs and look forward to adding a "big dog in a small package" to our family.

Why do you want a Pembroke?
 We love that Corgi's are an active breed. That thy like to be with you and a part of things. I have always thought them to be a beautiful and adorable breed. Small but sturdy and ready for adventure!

Activities planned with Pembroke:
 We would take long walks and hike the many trails in our area. We also love long car rides and some travel. We have spent some winters in Florida and plan to resume spending some time in a warmer climate again. Playing in the shallow water of one of our many area lakes on hot summer days is a certainty. We are looking for a dog that would be included in everything that we do. We are active outdoor people but also like to kick back and snuggle on the couch!

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: 		Stern voice and show the corresponding correction.

Discipline:
 Stern voice only. Absolutely no physical discipline.

Where would Pembroke spend the majority of the time:
 With my elderly father in his home. He misses the constant companionship of a dog best friend. We are 3 doors down in the same community and would be responsible for the majority of outdoor daily exercise.

Discipline:
 Stern voice only. Absolutely no physical discipline.
Where would Pembroke spend the majority of the time: With my elderly father in his home. He misses the constant companionship of a dog best friend. We are 3 doors down in the same community and would be responsible for the majority of outdoor daily exercise.

House dog or outside dog?

 House dog

People at home during the day?
 We are all retired and are home all day.

Where would dog eat?
 He/she would have a designated area in the kitchen for food and water dishes.

Where would dog sleep:
 In his/her own comfortable dog bed but would be open sharing our bed if he/she would rather!

Play & exercise:
 Walks would be multiple daily. We also have an excellent dog park in town and a new agility course that is very interesting.

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:
 We live in a small mobile home park.

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?
 No, the condo covenants do not prevent me from having a dog.

Breed/size restrictions?
 Yes

Description of yard:

 Small yard with 3 large shade trees and a plush lawn.

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?
 Diane and Chad

Willing to train children?
 We have always and will continue to teach our children and grandchildren to respect animals of all kinds and breeds and to treat them with a loving gentle hand.

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 will. This has not been a problem in the past with any of our extended families pets when we're together, but realize that it is a possibility and would make accommodations to protect them and introduce them slowly until they are ready to be a part of the larger group.

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}