Untitled_2804

Applicant IL
State: {Applicant State:2} Date of Application: 01/30/2020 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:
 Any color
Activity level:
 Couch Potato, Outgoing, Playful

Other preferences:
 potty trained is preferable.

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?

 We hope to be the family for this Pembroke.

Why do you want a Pembroke?
 My husband has always wanted a Corgi. Following the loss of my beloved beagle, I feel that the characteristics of the breed would fit into our household. My husband and I are able to find a sassy attitude charming and endearing. I have found that the smaller the packaging, the bigger the personality. I know that the breed are herders, therefore, intelligent, vigilant, and active. I have known a few Corgis and find them to be sweet, loyal dogs, fit for royalty…

Activities planned with Pembroke:
 We live near the Indiana Dunes and it is a favorite spot of Gypsy's and (recently deceased) Bonita's. We take walks around our neighborhood and dog parks/forests nearby. Sometimes, we like to just cuddle puddle and watch movies on the couch. (Yes, we let dogs on the couch, and sometimes on the bed.)

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 am assuming makes a mistake, this is a potty accident or destroys an item. I handle these things like an adult, clean up the mess, be better vigilant about how I, as the human and adult can mitigate future accidents and then focus on the dog's behavior.

Discipline:
 I work as a psychiatric social worker. My discipline style is to be fair and consistent. Discipline requires paying attention to what your dog (or people) are doing, observing the behavior, and redirecting bad behavior to an appropriate one and/or praising good behavior.

Where would Pembroke spend the majority of the time:
 With us.

Discipline:
 I work as a psychiatric social worker. My discipline style is to be fair and consistent. Discipline requires paying attention to what your dog (or people) are doing, observing the behavior, and redirecting bad behavior to an appropriate one and/or praising good behavior.
Where would Pembroke spend the majority of the time: With us.

House dog or outside dog?

 House dog

People at home during the day?
 My husband and I are on a few hours difference and average our dogs are alone 5-7 hours during the day. I leave the house at 8:00AM and my husband gets home between 2-3pm

Where would dog eat?
 In the dining room.

Where would dog sleep:
 We have dog beds everywhere, but they always choose the couch…

Play & exercise:
 We walk in the morning before I go to work and in the evening when I get home. we have a big backyard that we have room to throw balls. On the weekends, we go somewhere fun to walk around.

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 foot tall metal fencing. dug about 6-8 inches into the ground.

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:

 large yard mostly grass, with a parking pad, where there used to be a garage. we have a deck coming out of the house with 8 stairs down to the yard.

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?
 Elizabeth & Juan

Willing to train children?
 We do not have children.

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?
 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}