Untitled_2742

Applicant IL
State: {Applicant State:2} Date of Application: 12/31/2019 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:
 0 months – 1 year (we rarely get dogs in this age group), 1 year – 3 years
Gender preferred:
 Either a Male or a Female
Color preferred:
 Any color
Activity level:
 Outgoing, Quiet, Playful

Other preferences:
 We would love one who is already house trained, but we can also house train as well. We would also like to make sure our dog and the corgi are ok with each other.

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?

 Our Family-Aside from my husband and myself, we have 2 boys (ages 5 and 8), and a 12 year old puppy name Kedzie (we think is a aussie mix) who we rescued from a shelter 11 years ago. The rescued corgi would be a part of our family.

Why do you want a Pembroke?
 I love all the herding dogs. I especially love the Corgis joyful and determined spirit which I think would match with our family's personality. I have done research on the breed-illnesses/health issues, genetic disorders, temperament and behavior.

Activities planned with Pembroke:
 We would play in the backyard with the kids, go for walks in the neighborhood, and go to the local dog park in Oak Park where we are members.

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: 		Depends on the mistake, usually we say "unun." to stop the behavior. Followed by a reward if the behavior is corrected.

Discipline:
 Mainly positive reinforcement with treats. We rarely have to discipline our dog these days.

Where would Pembroke spend the majority of the time:
 Initially, we would crate train during the time we are out. After a few months would let them roam the house. We would have beds for the dog to sleep on in various rooms-we do not allow dogs on furniture(it can cause hip issues as they get older–our inlaws dog had this). They would spend nighttime in our room.

Discipline:
 Mainly positive reinforcement with treats. We rarely have to discipline our dog these days.
Where would Pembroke spend the majority of the time: Initially, we would crate train during the time we are out. After a few months would let them roam the house. We would have beds for the dog to sleep on in various rooms-we do not allow dogs on furniture(it can cause hip issues as they get older–our inlaws dog had this). They would spend nighttime in our room.

House dog or outside dog?

 House dog

People at home during the day?
 For four days a week, the corgi would have 6 hours alone with our other dog. For the other 3 days we are home.

Where would dog eat?
 We feed our other dog Fromm which was recommened from the shelter. We also use Stella and Chewy raw treats. Would plan to do the same unless the corgi was on a specialized diet.

Where would dog sleep:
 Various dog beds through the house once out of the crate. At nighttime in our room.

Play & exercise:
 I would anticipate play indoors and out. at least 30-45 minutes outside and 30-60 minutes inside with the family

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 partially fenced on 2 sides with a5 foot fence, on 1 side with a 3 foot gate, and on 1 side with a retaining wall.

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 have a deck, several larger trees, a small garden, a kids swing set, and last year I made a dog run area on the side of the house.

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?
 Ashima and Jacob

Willing to train children?
 Yes, we have for our current dog and will for any new members.

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

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}