Untitled_4153

Applicant IL
State: {Applicant State:2} Date of Application: 03/25/2022 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, 3 years – 5 years
Gender preferred:
 Male
Color preferred:
 Any color
Activity level:
 Couch Potato, Outgoing, 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?

 The pooch will be for myself and my 3 kids. We have always loved Corgi's and always wanted to adopt one.

Why do you want a Pembroke?
 I just find Corgi's the most adorable breed. They always seem happy. An old friend has had Corgi's and they are so smart. They look like they are smiling. I've just always loved them since I was a child and always wanted to adopt one. Then my daughter read some books on them and she told me she wanted to adopt one so I was looking online and talked to my friend that has had Corgi's for years and she suggested your organization.

Activities planned with Pembroke:
 The pooch would be a family member. We would go for walks, dog park. We have a large fenced yard to play with the Pembroke. Snuggle on the couch..etc. It would just be a family dog. We are animal people.

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: 		I would be patient and redirect the dog and show it what it needs to do. It might take multiple attempts for the pooch to learn.

Discipline:
 I just say "No" or teach the dog certain commands over time and then show the dog what it should be doing by redirecting it. We are nothing but loving people and would never show any negativity to a dog.

Where would Pembroke spend the majority of the time:
 The pooch would be home with us, outside playing with us, or going for a walk or an outing.

Discipline:
 I just say "No" or teach the dog certain commands over time and then show the dog what it should be doing by redirecting it. We are nothing but loving people and would never show any negativity to a dog.
Where would Pembroke spend the majority of the time: The pooch would be home with us, outside playing with us, or going for a walk or an outing.

House dog or outside dog?

 House dog

People at home during the day?
 Yes, I work full time at home. My kids get home from school by 3pm.

Where would dog eat?
 It would have dried food mixed in with soft food or if the Pembroke needed to be on a special diet I would provide that. I would do whatever is best for the dog.

Where would dog sleep:
 The dog would be upstairs sleeping with us hopefully. But will gauge the dog's comfort level and take it from there. The pooch would have doggie beds all over the house.

Play & exercise:
 I have a large yard, the pooch would go on daily walks at least once per day. My kids and I would also play with the dog outside.

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?
 I have a full fenced in yard that is 6 feet.

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:

 I believe my yard is around a 1/3 acre and completely fenced in. I have a garden that is fenced off nicely so the dog is unable to jump over. We have an above ground pool that has a fence around it completely and a locked pool ladder for safety. Everywhere else the dog can run wherever it wants.

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?
 Katherine Charnota. But all my kids help with feeding the pets, walking…etc.

Willing to train children?
 Oh yes definitely. My kids have been around pets their entire lives and no how to treat animals with patience and love.

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?
 Oh yes definitely. My previous dog, who was 90 lbs, got along very well with our bunnies (they are bonded) and they are not scared of dogs. My old dog would lay by their pen all the time.

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}