Untitled_2360

Applicant IL
State: {Applicant State:2} Date of Application: 04/29/2019 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 +
Gender preferred:
 Either a Male or a Female
Color preferred:
 Any color
Activity level:
 Outgoing, Quiet, Playful, Energetic

Other preferences:
 I have a cat and would also like to start a family, so the dog would have to be okay with cats and children. I will be training the dog with positive reinforcement and can leave aggression issues in the past, but if the dog had a history of aggression I would be accepting on a case by case basis.

Previous dog owner?
 No
 
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?

 Me!

Why do you want a Pembroke?
 I'm looking for a smaller dog with a large breed personality. I like a working dog that requires activity and brain stimulation, but will also relax at the end of the night. I would like a dog that cares about the family enough to go to the door to see who the "stranger" is, but then is very friendly. I would like a clever breed that can learn multiple commands and enjoys the training process.

Activities planned with Pembroke:
 – Go on hikes
-Potential agility courses (within their physical limits)
-As a former Zoo Keeper/Trainer we would learn lots of fun commands/sequences at formal dog training classes

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: 		It depends on the situation/behavior.
Example: dog is biting hand, so I would give him a toy that he is allowed to bite.
Eample: dog is urinating in house, take him out more frequently and praise them for urinating outside
Example: dog is destroying house, take her on more walks so shes tired and doesn't want to destroy house

Discipline:
 Positive Reinforcement is the tactic I am comfortable with. If a behavior is undesired, I typically ignore/stop playing. No attention is enough for most dogs to change behavior or refocus on what I'm asking.

Where would Pembroke spend the majority of the time:
 The house/ the park with me

Discipline:
 Positive Reinforcement is the tactic I am comfortable with. If a behavior is undesired, I typically ignore/stop playing. No attention is enough for most dogs to change behavior or refocus on what I'm asking.
Where would Pembroke spend the majority of the time: The house/ the park with me

House dog or outside dog?

 House dog

People at home during the day?
 Usually my fiance works from home

Where would dog eat?
 The back "office" room, not near the cat food dishes

Where would dog sleep:
 They could decide, but probably their crate

Play & exercise:
 We live across the street from a park. They would play.exercise daily.

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:
 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:

 Very small front yard. They would get all their fun at the park across the street.

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?
 me

Willing to train children?
 Yes. I was brought up this way and am so excited to share my love of animals and proper care with my potential future children

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. All animals need to adjust and find how they fit in with each other. I am fine with letting pet politics play out under my supervision.

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}