Untitled_2424

Applicant IL
State: {Applicant State:2} Date of Application: 06/12/2019 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:
 0 months – 1 year (we rarely get dogs in this age group)
Gender preferred:
 Either a Male or a Female
Color preferred:
 Any color
Activity level:
 Playful, Energetic, Very Active

Other preferences:
 prefer one with herding gene, active, ability to run fast. I have friends with Corgi's for a long time, have seen them herd and do AKC sports such as agility. I have had mostly herding dogs (5 total), currently have one BC but has a lumbral sacral issue. I have done search and rescue with an older BC for 7 years. Have much experience with herding breeds. Being retired the dog will receive lots of attention and training. My dogs have always been my dogs/partners for life, always active in AKC sports. Have even done some dog dancing.

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?

 Need a performance dog. Probably agility or herding as primary. Secondary obedience

Why do you want a Pembroke?
 I have always loved corgi's. Some of my friends, past and present have Pembroke's. I have seen them in herding, agility, rally, obedience and I'm always impressed with their ability to be successful in all sports, plus a greater benefit of being a great family pet. I have trained with my BC's with top trainers in the country in agility. I would partner with this dog to do herding or agility, probably obedience as well. Anymore there is a long list of activities to do with our dogs but in the past I have excelled in agility with my Aussie Amber. I also have a friend who is nearby, a long time corgi owner. Oops, it appears I answered some of this for question below.

Activities planned with Pembroke:
 There are several things I love about corgi's. They should be able to herd, but in general they have high drive and speed, very friendly, able to work with their human as a real team, playful, intelligent, and just an overall great dog. Although I wish to have one under 1 yr old, and willing to wait, I would consider one 3 yrs old and under if there is a known history, pure bred, and able to adjust with a BC. My older BC has arthritis in hips and is basically on pain meds, has trouble getting around so no issue with him. Younger BC has back issue and limited in ability to perform high activity sports. I am doctoring at Ohio State Medical College in Columbus, one of the best in the nation. Being retired my partner will gets lots of training, socialized, and live in a good home. Coming back from question below I already have 5000 in Bizzy's health, overall she is doing well, physical therapy by me 2x per day! She actually loves it.

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: 		would not reward a mistake. Just calmly try it again insuring the dog has understanding of what is being asked. If successful reward, if a difficult behavior lots of R+.

Discipline:
 try not to need too. But all dogs make errors. usually just stop the exercise and place dog in their crate and leave for short while. My experience is dogs needing discipline is mostly because they are frustrated as the exercise is not understood clearly. My goal is always to bond with the dog in a positive manner. Shaping though may be required and often is. Really if trying to stop behaviors such as jumping on people just rewarding opposing behaviors often is enough, such as sitting or lying down. Never jeopardize a good relationship, work thru the problem.

Where would Pembroke spend the majority of the time:
 Obviously in the house and once house trained, anywhere in the house. Dog will have a mat, their own crate, door open. Most time will be with me.

Discipline:
 try not to need too. But all dogs make errors. usually just stop the exercise and place dog in their crate and leave for short while. My experience is dogs needing discipline is mostly because they are frustrated as the exercise is not understood clearly. My goal is always to bond with the dog in a positive manner. Shaping though may be required and often is. Really if trying to stop behaviors such as jumping on people just rewarding opposing behaviors often is enough, such as sitting or lying down. Never jeopardize a good relationship, work thru the problem.
Where would Pembroke spend the majority of the time: Obviously in the house and once house trained, anywhere in the house. Dog will have a mat, their own crate, door open. Most time will be with me.

House dog or outside dog?

 House dog

People at home during the day?
 I am always home except for doing errands such as grocery shopping.

Where would dog eat?
 In the kitchen or in the family room.

Where would dog sleep:
 Either in crate, on floor, and/or with me in the bed. My older BC will lay in bed with me and after a short time goes to his crate. Crate door is always open so he can come and go as he wants. I have a very large bedroom, may set up an x-pen initially if the dog feels more comfortable at the beginning.

Play & exercise:
 The dog will be getting more than needed, I have a large enough back yard (all fenced) to run and play, also train. I have a large garage, partially carpeted in a closed off bay to train inside. Also have lots of agility equipment.

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?
 It is 5 ft chain link with 3 doors. Doors except one are usually locked. When playing/training in yard I am ALWAY with them.

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:

 No swimming pools. It is a typical yard (backyard) completely fenced, some large trees (oak), a flower area, a bird bath, that's about it.

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?
 James Keim ME am only person in h ouse

Willing to train children?
 N/A Grandchildren have Golden Retriever, love all dogs

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, but do not anticipate and issue

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}