Untitled_2880

Applicant IL
State: {Applicant State:2} Date of Application: 03/29/2020 Referred by: Other
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:
 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, Playful, Energetic, Other (Please describe in the box below.)

Other preferences:
 I do work 8 hour shifts, so a dog with separation anxiety would probably not be happy with me.

Previous dog owner?
 No
 
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?

 Me (Katherine)

Why do you want a Pembroke?
 I always had a soft spot for corgis because I think they are so cute. Once I became more serious about adopting a dog I did research about their personalities and I think a corgi would be a great fit for me. Additionally, they are the right size for my living space.

Activities planned with Pembroke:
 Playing with balls and stuffed toys inside the apartment, cuddling when tired, going for walks. I live within walking distance of 3 lakes, and my apartment is connected to a bike trail that has miles and miles of walking paths, so we would be very outdoorsy together.

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? No

Do you have a veterinarian?

 No

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: 		What I did with my family dog was raise my voice so I could get the dog's attention, say "no", and sometimes pick the dog up and move them away from the area of the mistake.

Discipline:
 We were taught with the family dog to bop him on the top of the head, but I was always reluctant to do that. I usually say "no" and raise my voice or carry the dog out of the room.

Where would Pembroke spend the majority of the time:
 In the living room/my bed room. (Apartment is quite large)

Discipline:
 We were taught with the family dog to bop him on the top of the head, but I was always reluctant to do that. I usually say "no" and raise my voice or carry the dog out of the room.
Where would Pembroke spend the majority of the time: In the living room/my bed room. (Apartment is quite large)

House dog or outside dog?

 House dog

People at home during the day?
 I have 2 roommates so there will almost always be someone home.

Where would dog eat?
 In the kitchen on the hard wood floor.

Where would dog sleep:
 My bedroom.

Play & exercise:
 Daily walks, play time in the home, smaller outings outside at night for fresh air. I can walk them as long as they need every day. I have very easy access to trails.

How will you exercise your dog?
 On leash

Fenced yard?

 No, I don’t have a fenced in yard.

Willing to pick up dog waste?
 Yes, I will clean up after my dog.

Willing to use a crate?

Living arrangements:
 Rent/lease 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?
 No, you may not contact my landlord.

Lease allow dogs:
 Yes, my lease permits dogs.

Landlord permission:

Restrictive covenants?
 Not applicable

Breed/size restrictions?
 No

Description of yard:

 I do not live in a 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?
 Katherine

Willing to train children?
 Absolutely yes. No children currently or for the foreseeable future thought.

Any allergies?

 One or more family members might be allergic to dogs.

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?

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}