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Applicant IL
State: {Applicant State:2} Date of Application: 03/25/2022 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
Gender preferred:
 Either a Male or a Female
Color preferred:
 Any color
Activity level:
 Couch Potato, Outgoing, Quiet, 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?

 Myself

Why do you want a Pembroke?
 My grandparents had a corgi named Odie growing up (and a cat named Garfield… yes they looked like the iconic duo lol) he was a great dog and one of the best dogs I’ve met. I’ve wanted one since. I’ve also read about how they’re very accommodating to living situations and I don’t plan on moving anytime soon, but being in college that is possible.

Activities planned with Pembroke:
 Daily walks, when Im at work and school I already found a doggy daycare I plan on taking my little companion too so they aren’t lonely. I live by the beach so in the summer plenty of beach trips (if they like water), and lots of trips to the pet store for new toys and socializing for my buddy!

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?

 No

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: 		If my dog makes a mistake, I understand it happens, if it’s an accident like potty in house I’d tell my pup no and tell them potty outside then follow with a potty trip outside to show them (how I trained my previous animals and they’re all great!), if it’s a chewing problem tell them no and show them the proper toys to chew on, maybe get a safe no chew spray (plenty of research on safety before buying the spray though)

Discipline:
 Occasionally crate training timeout for five minutes if they really did something bad, tell them no and no treats for awhile until they’re good.

Where would Pembroke spend the majority of the time:
 With me at my place, on walks, doggy daycare for puppy playtime, wherever I am for the most part.

Discipline:
 Occasionally crate training timeout for five minutes if they really did something bad, tell them no and no treats for awhile until they’re good.
Where would Pembroke spend the majority of the time: With me at my place, on walks, doggy daycare for puppy playtime, wherever I am for the most part.

House dog or outside dog?

 House dog

People at home during the day?
 Me, I have college but I do mainly online classes so I’m rarely there, but I have work full time.

Where would dog eat?
 Home of course, they would eat in the kitchen area of my place.

Where would dog sleep:
 In my bed with me, I don’t have any rules against dogs on furniture. They’re family too.

Play & exercise:
 Doggy daycare! Walks, beach trips in the summer, going to petco and letting them socialize

How will you exercise your dog?
 On leash

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:
 Rent/lease 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?
 Yes, you may contact my landlord.

Lease allow dogs:
 Yes, my lease permits dogs.

Landlord permission:
 Yes, my landlord is fine with me owning a Pembroke

Restrictive covenants?
 Not applicable

Breed/size restrictions?
 No

Description of yard:

 I live in an apartment complex, I do have approval for an emotional support animal.

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?
 Faith Nickelson

Willing to train children?
 Yes of course, I don’t plan to have kids right now but if it happens the pet is my family too.

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, if I plan to get another pet meet and greets would happen prior to adopting.

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}