Untitled_4098

Applicant IL
State: {Applicant State:2} Date of Application: 01/10/2022 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:
 Female
Color preferred:
 Any color
Activity level:
 Playful, Energetic, Very Active

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?

 companionship and family pet.

Why do you want a Pembroke?
 I prefer the breed. I have grown up with both German Shepherds and corgis. I enjoy the spunk yet activity level of the corgi and think it best suits my lifestyle. I work from home and am outdoors either walking or gardening. My corgis all enjoy playing in backyard and off to park for a daily adventure. Corgis can be a challenge if not socialized and exercised. I do this on a daily basis if possible.

Activities planned with Pembroke:
 Walking, playing in park. I am a very devoted dog owner. I live in a quiet area southwest of the twin cities and within walking distance of a marvelous park and creek system. I own a pet burley and also take my dog with on trips if they like it. I work from home so my dog benefits of frequent access to backyard and daily walks in 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: 		determine the cause. I often find that I have done something wrong and put the dog in a situation where it made a mistake. Redirect the issue if possible or remove the trigger which caused the issue.

Discipline:
 I remove the dog from the area where the act occurred. I also read the dog's body language and try to diffuse the situation before it occurs.

Where would Pembroke spend the majority of the time:
 I work from home so the dog will be at home with me. Dog has access to his or her kennel and able to roam the house. I also let the dogs and myself out during the day for breaks.

Discipline:
 I remove the dog from the area where the act occurred. I also read the dog's body language and try to diffuse the situation before it occurs.
Where would Pembroke spend the majority of the time: I work from home so the dog will be at home with me. Dog has access to his or her kennel and able to roam the house. I also let the dogs and myself out during the day for breaks.

House dog or outside dog?

 House dog

People at home during the day?
 I work from home full time

Where would dog eat?
 I feed the dogs in the kitchen. With 2 dogs, I feed in separate rooms or put food in their kennels depending on what works best with the dogs

Where would dog sleep:
 They can sleep either in the bed or in their kennels.

Play & exercise:
 The dog will be allowed to play in backyard several times a day and taken for a walk at least one time a day in winter. In warmer months, I usually do two walks a 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?
 4.5 foot chain link fence with secure gates.

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:

 1/3 yard. I have basic landscaping with hostas and bushes. No fixtures.

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?
 Tracey

Willing to train children?
 there are no children at my house nor are there any young kids in immediate family.

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, [email protected], friend.:87}