Untitled_2369

Applicant IL
State: {Applicant State:2} Date of Application: 05/04/2019 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
Gender preferred:
 Either a Male or a Female
Color preferred:
 Red & White, Red Headed Tri, Sable & White
Activity level:
 Outgoing, Quiet, Playful, Other (Please describe in the box below.)

Other preferences:
 Please see above.

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?

 It would be for myself & my girlfriend who live in a spacious 2 bedroom apartment.

Why do you want a Pembroke?
 We have done extensive research on the breed over several months including with your website. We have seen several articles, research & information related to how the breed behaves, reacts, copes & responds to interaction & home living. We both want to adopt a corgi because it is a perfect small dog that is playful & interactive. I personally use to own a dog that I prayed for when I was little & we adopted him from being left in the country alone. About 10-12 years ago around Easter he was murdered by a man who was delivering food product to our house in the country. I have wanted another dog for quite some time & I believe this summer would be a great opportunity to start this new adventure.

Activities planned with Pembroke:
 I want to be able to do all the things I used to do with my old dog. Play catch, go on walks, trails, hiking (small amounts), play tag, and cuddle/ relax on downtimes.

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: 		Try to instruct or show the right thing to do or train it up & be teachable.

Discipline:
 I use to use the click training or snaps to get behavior & learned things in check with my old lab. I found it worked well.

Where would Pembroke spend the majority of the time:
 In the apartment with lots of space over 1050sq ft.

Discipline:
 I use to use the click training or snaps to get behavior & learned things in check with my old lab. I found it worked well.
Where would Pembroke spend the majority of the time: In the apartment with lots of space over 1050sq ft.

House dog or outside dog?

 House dog

People at home during the day?
 Yes, I am a second shift deputy so I will be home most of the day.

Where would dog eat?
 In the kitchen in front of a large window.

Where would dog sleep:
 In our bed or on a bed we by for it placed in our master bedroom/ bathroom area that are connected. It could also sleep in the living room or kitchen if it preferred.

Play & exercise:
 Long walks for sure 2-3 times a day with opportunities to go to our local dog parks & run/ play. Active ability to go on runs & be outdoors several times a day.

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?
 Yes

Description of yard:

 NA

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?
 We will both share in responsibility, but I will take primary ownership if needed

Willing to train children?
 Yes, we both will take full time to do this.

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?
 No current pets.

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}