Untitled_2644

Applicant IL
State: {Applicant State:2} Date of Application: 10/26/2019 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:
 1 year – 3 years, 3 years – 5 years
Gender preferred:
 Either a Male or a Female
Color preferred:
 Any color
Activity level:
 Couch Potato, Outgoing, Quiet, Playful, Other (Please describe in the box below.)

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?

 Kristen

Why do you want a Pembroke?
 I love the breed for it's goofy personality. Not much personal experience with the breed and have done some research on the breed

Activities planned with Pembroke:
 I have just started training for runs, so I would take it running with me. Potentially to dog parks (one is just around the corner from our apartment). At the end of the summer, the police department does a "dog paddle" at one of the pools and would take it to that if s/he enjoys water

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: 		I have a friend who is a dog trainer so I will be working with her for baseline training

Discipline:
 I tend to keep the kennel as a comfort spot for the dog, but if it is misbehaving, I kenneled my prior dog. As mentioned above, I will be working with a friend to learn different methods of training/discipline

Where would Pembroke spend the majority of the time:
 If it is not destructive, it would have free roam of the apartment. If it has destructive tenancies, it would be kenneled while myself and my boyfriend are at work (our schedules are offset, so it would typically only be 3-4 hours between us that it would be alone)

Discipline:
 I tend to keep the kennel as a comfort spot for the dog, but if it is misbehaving, I kenneled my prior dog. As mentioned above, I will be working with a friend to learn different methods of training/discipline
Where would Pembroke spend the majority of the time: If it is not destructive, it would have free roam of the apartment. If it has destructive tenancies, it would be kenneled while myself and my boyfriend are at work (our schedules are offset, so it would typically only be 3-4 hours between us that it would be alone)

House dog or outside dog?

 House dog

People at home during the day?
 Varies by day. Currently, my boyfriend is off Mondays/Tuesdays and I'm off Wednesday and every other weekend. I work 3p-1130 so I'm home most of the day and my boyfriend gets home around 6p most days

Where would dog eat?
 Dining area

Where would dog sleep:
 Pretty much anywhere in the apartment it wants

Play & exercise:
 Play at a dog park (potentially, depends on crowd/dogs at the park), finding enclosed areas for it to play at, dog daycare.
Would get to play during the day before I go to work and after my boyfriend gets home from work

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:

 n/a – but please only contact apartment when a final decision has been made on adopting a dog. they are aware we are looking to adopt a dog as an ESA. the apartment usually does not allow pets (unless it is a service animal or ESA), but myself and my boyfriend have been dealing with depression and are talking to the psychiatrist about moving forward with ESA paperwork

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?
 Kristen

Willing to train children?
 N/A

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?

Are you willing to work on it if your new dog doesn’t get along with your current pets right away?
 Absolutely

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}