Untitled_2744

Applicant IL
State: {Applicant State:2} Date of Application: 12/18/2019 Referred by: Friend
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, 5 years – 10 years, 10 years +, Any age
Gender preferred:
 Either a Male or a Female
Color preferred:
 Any color
Activity level:
 Outgoing, Playful, Energetic, Other (Please describe in the box below.)

Other preferences:
 We have a 13 year old corgi who recently lost her spaniel companion.

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?

 For me, for my partner, for my other corgi

Why do you want a Pembroke?
 My Corgi, Lilliput, has been a joy in my life. I love that she is so smart, always 3 steps ahead. She has a rather large vocabulary. When she was younger she was a star at agility (though we only trained, never competed). I love the attitude of herding dogs. I know that they need to learn right away what the rules are. Lilli not only learned the rules, but made sure other dogs followed those rules. In her first several years I spent time on Corgi message boards, learning a lot.
As a long-time Adoption Counselor (volunteer) at Dane County Humane Society for the last 11 years, I have worked with many types of dogs. The herding dogs have always been among my favorites.

Activities planned with Pembroke:
 My corgi, Lilli, was a star at agility classes. She went through many different types of classes to keep her busy, and her mind alert, We do visit a dog park 2 – 3 times a week. Since losing our Spaniel, she has lost some interest in walks, but we hope to re-engage her. An older dog would probably just spend time at the park, A younger dog may participate in classes.

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: 		A Mistake? If you mean peeing in the house, it must be cleaned with an enzimatic cleaner, and ignored. If caught in the act, distract, carry dog outside. A rule breaking? Distract, redirect. Figure out why it happened.

Discipline:
 Positive Reinforcement. Nothing in Life is Free. Lilliput is very tuned in to human speech. She wears a loose Martingale collar and responds to a quick tug, and a gesture or verbal command, If misbehaving in the house, she responds to verbal reprimands, and generally comes back to me.

Where would Pembroke spend the majority of the time:
 In the house. Should she need a crate, for house training or safety from things she may eat or destroy, then she would be in a crate when not supervised.

Discipline:
 Positive Reinforcement. Nothing in Life is Free. Lilliput is very tuned in to human speech. She wears a loose Martingale collar and responds to a quick tug, and a gesture or verbal command, If misbehaving in the house, she responds to verbal reprimands, and generally comes back to me.
Where would Pembroke spend the majority of the time: In the house. Should she need a crate, for house training or safety from things she may eat or destroy, then she would be in a crate when not supervised.

House dog or outside dog?

 House dog

People at home during the day?
 Yes. Me, my partner, Hall, and my adult son.

Where would dog eat?
 In laundry room with a door, that is closed between her food and other dogs.

Where would dog sleep:
 Where ever she wants.

Play & exercise:
 We have a fenced yard. There is another Corgi. We visit the dog park 2 -3 days per week. I weather is bad, we walk around the park on leash.

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?
 6 feet tall wood fence. Recently replaced, so the holes that the bunnies have chewed are all filled in.

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:

 Ranch house, with 6 foot wooden fence. There are two wooden decks. Also a garden that is often destroyed by dogs chasing toads. (sigh) A stone stairway leading down to a door.

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?
 Julia Churchill

Willing to train children?
 Absolutely! This is something I stress and teach at my job as an Adoption Counselor.

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?
 Slow, careful introductions. Teaching dogs how much they can mess with the cats. Cats have separate room with gate, where they can be alone, also a veritable forest of cat trees that are above Corgi height.

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}