Untitled_2545

Applicant IL
State: {Applicant State:2} Date of Application: 08/24/2019 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:
 Any age
Gender preferred:
 Either a Male or a Female
Color preferred:
 Red & White
Activity level:
 Couch Potato, Outgoing, Quiet, Playful, Energetic

Other preferences:
 We are looking for a red and white Pembroke Welsh Corgi. Friends of ours have a one year old Corgi named Winston and this breed would be a good fit for our family. However, because we know there are so many wonderful dogs that need a forever home, we prefer to go the rescue route and not the breeder route. We will take any age Corgi. We just want to give a Corgi who needs a loving home a family.

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?

 My family consisting of me, my husband Jeff, my daughter Campbell (age 14), my daughter Sylvie (age 11), and my son Henry (age 6).

Why do you want a Pembroke?
 Friends of ours have a Pembroke Welsh and we felt like it would be a good fit for our family so we started doing research on the dog breed. We feel because it is a very intelligent breed that is good with kids and families, it would be a good fit for us and our three children. Because their coat is easy to care for we felt we could provide the proper grooming and maintenance a Corgi needs. Daily brushing would not be an issue for us. We are interested in training the dog and because they adapt well to obedience training, we thought this breed would be a fit for us.

Activities planned with Pembroke:
 We enjoy taking walks and would like to have a Corgi that would accompany us. We have a fenced-in yard and love to play in the backyard and would hope any Corgi that would come home with us would like to play outside with us. We are aware that because of Corgi's longer frame they shouldn't walk up stairs. We plan to carry the pup up/down stairs. I am a stay-at-home mom so when my kids are away at school I will be home to care for the dog and take it outside for walks and play time. When we vacation my brother would take the Corgi to stay with him or he would stay at our home and watch the pup. He doesn't have any pets now, but previously had a dog so he is experienced with pets.

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: 		If we catch the pup mid-accident, we would try and usher it outside to finish. This would also be a good reminder to us that we should take the dog out more frequently than we are if an accident does occur. It would be a good idea for us to keep track of when the pup is going to the bathroom so we could properly track the frequency he/she needs to go outside. We would then clean the area inside where the pup had the accident. Another thing we learned from our Corgi friends is to reward your Corgi when it uses the bathroom outside. This would help reinforce positive behavior.

Discipline:
 Similar to how we worked with our children we would likely reinforce certain positive behaviors with affection and rewards, such as treats. The pup would likely learn to continue the positive activity and refrain from the negative. Like with our kids, providing structure and a loving environment seems to prevent the need for discipline.

Where would Pembroke spend the majority of the time:
 Our Corgi would spend its time at our home. We have a 2000 square foot home (plus basement) and a fenced in yard. We have many friends with dogs so the occasional puppy play date would take place.

Discipline:
 Similar to how we worked with our children we would likely reinforce certain positive behaviors with affection and rewards, such as treats. The pup would likely learn to continue the positive activity and refrain from the negative. Like with our kids, providing structure and a loving environment seems to prevent the need for discipline.
Where would Pembroke spend the majority of the time: Our Corgi would spend its time at our home. We have a 2000 square foot home (plus basement) and a fenced in yard. We have many friends with dogs so the occasional puppy play date would take place.

House dog or outside dog?

 House dog

People at home during the day?
 I am a stay-at-home mom so I am home during the day.

Where would dog eat?
 Our Corgi would eat in our kitchen/dining area where the family eats.

Where would dog sleep:
 The Corgi would sleep in a bed either on the first floor in a pet bed or upstairs with the rest of the family. We will need to see where the Corgi is most comfortable sleeping.

Play & exercise:
 The Corgi will take an early morning walk first thing (likely 6am). Then the Corgi would take a second walk at 8:00am when the kids go to school. A pre-lunch walk or playtime in the backyard would happen. An afternoon puppy play date or playtime in the backyard would occur. Then we would walk to pickup the kids at school. Post-dinner playtime in the backyard would take place and then a final break outside before bedtime.

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?
 We have a metal gate that blocks our driveway and a six-foot fence surrounding the perimeter of our yard. We have a side gate that we keep locked.

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:

 We live in a single family home with a yard. It is fenced in with enough area for a dog to run around and get some exercise. Our fence is along the perimeter of the entire yard and there are no gaps between the fence and the yard where a dog would fit through. Our neighbors to the north of us as well as in back of us do not have any pets. The neighbors south of our home have a lab, but the dog is older and is leash trained.

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?
 Stacey & Sylvie Wixted

Willing to train children?
 Yes. My daughter Sylvie has conducted a tone of research on Corgis and feels comfortable caring for the animal.

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. The guinea pigs reside in the basement laundry room where the door can be closed.

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}