Untitled_4142

Applicant IL
State: {Applicant State:2} Date of Application: 03/10/2022 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:
 1 year – 3 years, 3 years – 5 years, 5 years – 10 years, 10 years +, Any age
Gender preferred:
 Female, Either a Male or a Female
Color preferred:
 Any color
Activity level:
 Couch Potato, Outgoing, Quiet, Playful, Energetic

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?

 Our family, Julie (me), Derek (bf), my son (9).

Why do you want a Pembroke?
 I have worked for trainers who had this breed and fell in love with their witty, loyal and living personalities. I have researched this breed extensively and although I have never owned one I have an entire childhood and all of my adulthood of experience with working dogs, specifically herding breeds.

Activities planned with Pembroke:
 This would be a family dog who would get to go to the barn to help do chores, go on hikes with us, road trips, and play endlessly in our fenced in yard with my son and our other dog.

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: 		Through positive reinforcement

Discipline:
 Scolding

Where would Pembroke spend the majority of the time:
 Beside me, whether I'm in the barn, on the road, or in the house. Otherwise the dog would be in their fenced in yard (the entire yard is theirs), or in the house in a crate.

Discipline:
 Scolding
Where would Pembroke spend the majority of the time: Beside me, whether I'm in the barn, on the road, or in the house. Otherwise the dog would be in their fenced in yard (the entire yard is theirs), or in the house in a crate.

House dog or outside dog?

 House dog

People at home during the day?
 Yes

Where would dog eat?
 On the dog feeding mat in our house.

Where would dog sleep:
 Depending on the age of the dog, rhe end goal regardless would be for the dog to sleep on a dog bed in one of rooms like our other dog does. However, younger or unhousebroken dogs would be crate trained until they could be trusted to sleep in our room.

Play & exercise:
 We live on a 200 acres plus have our yard completely fenced in. We also love going for nature walks and my son loves to play fetch/tug of war, etc.

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 4"×4" square paneling fence that is approximately 5'high. One portion of the fence is 8' privacy fence.

Living arrangements:
 Bunkhouse

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:

 Our yard is basically for the dogs. It has some landscaping along the house, a raised garden bed, a kiddy pool in the summer months and a dog house as well.

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?
 Julie

Willing to train children?
 My son has been raised with herding dogs his entire life as well as around livestock. He has always been raised to treat animals correctly. He Is quite honestly 50x more responsible than most children his age.

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 of course!

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}