Untitled_2858

Applicant IL
State: {Applicant State:2} Date of Application: 03/14/2020 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
Gender preferred:
 Either a Male or a Female
Color preferred:
 Any color
Activity level:
 Couch Potato, Outgoing, Quiet, Playful, Energetic

Other preferences:
 We currently have a 45 lb lab/hound mix and 2 cats in our household.

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?

 My husband and myself.

Why do you want a Pembroke?
 They are one of the most intelligent and loving breeds of dogs I have ver met. Every corgi I have met (I have never had my own corgi friend) have been good natured and playful. My aunt had a corgi when I was young and she was my best friend when I was able to visit.

Activities planned with Pembroke:
 Yes, my current dog is very active and playful and would love a dog friend that she could play with all the time. We would go on long walks (I live right next to the 606 raised walking path and near Humboldt Park) as well as visit the many dog parks nearby. We own our home and have a fenced in yard and, while small like all chicago yards) it is definitely big enough for a dog to play and run in.

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: 		Use a low voice to indicate the behavior is bad and reinforce the correct behavior with treats.

Discipline:
 Use low voice and have them “got to bed” if they were caught in the act. If not, I might indicate displeasure with body language about the mess or bad behavior but they may not understand being disciplined later.

Where would Pembroke spend the majority of the time:
 In our main floor and basement of the home. Our 2nd floor is gated so that the cats have a refuge away if they need it and we do not currently utilize a crate as our dog did not like to use it but we still have it for travel, etc.

Discipline:
 Use low voice and have them “got to bed” if they were caught in the act. If not, I might indicate displeasure with body language about the mess or bad behavior but they may not understand being disciplined later.
Where would Pembroke spend the majority of the time: In our main floor and basement of the home. Our 2nd floor is gated so that the cats have a refuge away if they need it and we do not currently utilize a crate as our dog did not like to use it but we still have it for travel, etc.

House dog or outside dog?

 House dog

People at home during the day?
 My husband can often work from home and I have weekdays off or an alternative schedule of 1-9 on many days during the week. On days that we are both at work and not home during the day we have a professional walk service come by.

Where would dog eat?
 Kitchen/dining room

Where would dog sleep:
 Dog bed or a crate if they prefer

Play & exercise:
 Multiple walks during the day, play time in the yard and visits to a dog park at least once a week.

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?
 One side in wooden and the other is raised above my yard level Woth cement/bricks and chain link.

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:

 Standard chicago yard. Have wooden porch off the back of house and grass in yard with some patio furniture.

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?
 Sara Brunkhorst

Willing to train children?
 No children, but yes

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}