Untitled_4136

Applicant IL
State: {Applicant State:2} Date of Application: 03/05/2022 Referred by: Friend
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
Gender preferred:
 Female
Color preferred:
 Any color
Activity level:
 Playful

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?

 My husband and myself.

Why do you want a Pembroke?
 We have had 4 corgis and we’ve loved our corgis dearly!
We love their temperament and their activity level. How they stay close to home vs wandering. Their energy, their loyalty & their personality.

Activities planned with Pembroke:
 We live on a 5 acre private lot surrounded by 2 bays on the Mississippi River in northern MN.
Our home is 150 feet from the street on a dead end.
We have lots of space for our pets to run and play.
We will play ball, etc based on our pet’s interest.

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: 		Our dogs are family. We would handle the situation as it arises & look forward to improvements in the future.

Discipline:
 Verbal commands and praise for good behavior. Rewards are verbal and a few treats depending on the situation.

Where would Pembroke spend the majority of the time:
 We’re retired so our pets spend time with us inside and they have the freedom to be outside.
I enjoy walking & our dogs have enjoyed our location (access to trails) and getting lots of regular exercise.

Discipline:
 Verbal commands and praise for good behavior. Rewards are verbal and a few treats depending on the situation.
Where would Pembroke spend the majority of the time: We’re retired so our pets spend time with us inside and they have the freedom to be outside.
I enjoy walking & our dogs have enjoyed our location (access to trails) and getting lots of regular exercise.

House dog or outside dog?

 House dog

People at home during the day?
 Yes, we’re retired & in our late 60’s.

Where would dog eat?
 In the kitchen

Where would dog sleep:
 In her own comfortable dog bed. If she prefers a crate, we would accommodate.

Play & exercise:
 Daily exercise!
We live outside of city on 5 acres. Our property is private and our corgi would have daily exercise on our property and with me walking on nearby trails.

How will you exercise your dog?
 Both on leash and restrained to the yard

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:

 5 acres of yard & neighbors are not near us.
No swimming pool just the Mississippi River.
Access to the water is inhibited by the cattails and vegetation so our previous corgis would wade but it was not desirable swimming for them.

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?
 Lisa

Willing to train children?
 Yes, our 2 grandchildren live in MT & we live in Minnesota

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?
 No other pets live with us!

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}