Untitled_2827

Applicant IL
State: {Applicant State:2} Date of Application: 02/16/2020 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:
 0 months – 1 year (we rarely get dogs in this age group)
Gender preferred:
 Female
Color preferred:
 Red & White, Red Headed Tri, Black Headed Tri, Sable & White
Activity level:
 Playful, Energetic, Very Active

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?

 ourselves

Why do you want a Pembroke?
 My Corgi passed 2 weeks ago after 17 years. Her last day she was still trying to move to be with me and I picked up up, she she just cuddled as I petted her as
she passed away. She was my shadow, and my best friend.

Activities planned with Pembroke:
 My corgi loved to walk, to play ball til my arm fell off, to chase geese and squirrels. She loved just laying at my feet. She loved laying with the cats, she loved being in everything. At age 10 she had hip surgery and she was then again running around like a puppy. Surgery at Care Animal Hospital in Arlington Hts, Il.

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: 		scoulding and reinforcing training
Mike Daidone is a famous dog trainer and a great friend of mine. If I need help he will help me.

Discipline:
 scoulding and reinforcing training, I never caged a dog and will not start.

Where would Pembroke spend the majority of the time:
 Nicer weather, my corgi loved to be outside til dinner time. Fenced, secured yard with camera. My other dog, never left the yard even if the gate was open.
Other times in the house. Night time, sleeping in the bedroom, by the dresser, but that never works as by morning she was always next to the bed or under the bed with the nose sticking out. Both house dog and outside dog. Person with key for yard is landscaper and he makes sure the dog is accounted for and safe while he is there and when he leaves.

Discipline:
 scoulding and reinforcing training, I never caged a dog and will not start.
Where would Pembroke spend the majority of the time: Nicer weather, my corgi loved to be outside til dinner time. Fenced, secured yard with camera. My other dog, never left the yard even if the gate was open.
Other times in the house. Night time, sleeping in the bedroom, by the dresser, but that never works as by morning she was always next to the bed or under the bed with the nose sticking out. Both house dog and outside dog. Person with key for yard is landscaper and he makes sure the dog is accounted for and safe while he is there and when he leaves.

House dog or outside dog?

 House dog

People at home during the day?
 I am in and out through out the day. It would be rare for the dog to be home alone for 7 hours and would not be totally alone as there is the cat.

Where would dog eat?
 Dry dog food to prepared fresh meals. My other Corgi lived for 17 years and was healthy and strong until the last 4 months when she started to really slow down.

Where would dog sleep:
 At night in my bedroom, as described above.

Play & exercise:
 Walks most days. Running playing ball most days. Tug of war, playing with people and the cat. Playing inside and out. there is a 45 foot indoor space to run and play ball when weather may not be great.

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 shadow box, secured and with camera.

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:

 There is a pond. No Koi fish anymore as the corgi ate the fish. The greyhound would lay in the pond. My daughter's german shepherd would lay in the pond, the corgi would lay in the wood chips never in the pond.

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?
 Robert Ptaszek

Willing to train children?
 yes. My new grandson is in a house with 3 dogs and he will learn about my dog as well.

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}