Untitled_4146

Applicant IL
State: {Applicant State:2} Date of Application: 03/17/2022 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:
 5 years – 10 years
Gender preferred:
 Female
Color preferred:
 Any color
Activity level:
 Quiet

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?

 It is for Tom and Dorothy, as we are both retired and do not travel.

Why do you want a Pembroke?
 We have had 3 senior corgi. I like the small body, so they don't seal stuff off the table.
I prefer they don't get on the furniture, but I have train them to pick on to nap or watch the outside. our first one was a puppy, had to crate him when we went away. the second was a show dog drop out. No training needed. # 3 was 7 but was very active like to talk a lot. like other dogs except pit bulls. had to put up a private fence.

Activities planned with Pembroke:
 walk, play fetch, or just play in the back yard

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: 		talk to them. If we are out side. they would need to come in the house.

Discipline:
 I try to distract them from what they are doing. If the are out side I bring them in the house

Where would Pembroke spend the majority of the time:
 In the yard or house with us.

Discipline:
 I try to distract them from what they are doing. If the are out side I bring them in the house
Where would Pembroke spend the majority of the time: In the yard or house with us.

House dog or outside dog?

 House dog

People at home during the day?
 We are retired and we are home most of the time

Where would dog eat?
 In the family room

Where would dog sleep:
 In their bed by our bed

Play & exercise:
 walk 3 or 4 times a week, play fetch or chase squirrels. I am outside a lot in the morning. If it too hot we come in.

How will you exercise your dog?
 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?
 6 ft white plastic fence and chain link 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:

 The yard is larger than most city lots. It is fence in. no pools, garden shed. gardens on two sides. My other dogs liked to walk next to the fence, so I have tried to make a path for them to walk around. we have 4 trees for shade.

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?
 Dorothy Harris

Willing to train children?
 I do not have any children living with us, grandsons are in college. they were raised with dogs and very good with them

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?
 i do not intend to get another pet. if i do it would have to get along with the dog or it would have to leave. I would not give up my dog

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}