Untitled_2897

Applicant IL
State: {Applicant State:2} Date of Application: 04/05/2020 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:
 0 months – 1 year (we rarely get dogs in this age group), 1 year – 3 years
Gender preferred:
 Male
Color preferred:
 Red & White, Sable & White
Activity level:
 Couch Potato, Outgoing, Quiet, Playful, Energetic, Very Active

Other preferences:
 preferably a younger dog so they can grow up with our already established 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?

 We would like to adopt a Corgi for our College Daughter that lives with us. She has wanted a corgi for as long as I can remember. We currently have 3 dogs we rescued over the last 4 yrs and our daughter would like to have her own pup.

Why do you want a Pembroke?
 My 20yr old daughter has loved the breed since she was a child. It's their cute little legs, fluffy bodies and adorable faces. It's also their "big dog" personalities that match her to a T. They are extremely active and eager to learn dogs. We are an active household and want a dog that can keep up. She loves how loyal they are and yet small enough to cuddle with. We have a cattle dog currently so we are familiar with the herding breed and their need for work/jobs.

Activities planned with Pembroke:
 long walks, play time in the backyard, some agility training. And lots of training for mental stimulation.

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: 		we have used positive reinforcement, rewarding good behavior with treats and verbal praise. Mistakes happen, it's ok. focusing on the positive we have found yields better results.

Discipline:
 we have done time-outs for bad mistakes. Time in the crate if needed.

Where would Pembroke spend the majority of the time:
 freely roaming the house

Discipline:
 we have done time-outs for bad mistakes. Time in the crate if needed.
Where would Pembroke spend the majority of the time: freely roaming the house

House dog or outside dog?

 House dog

People at home during the day?
 yes! dog would not have to go more than 4-6 hrs without someone home. College kid is home all day.

Where would dog eat?
 inside with the other dogs.

Where would dog sleep:
 in their crate (door open), dog bed or with my daughter in her bed. Wherever they are most comfortable.

Play & exercise:
 We currently take our dogs out a couple times a day for walks and also play in the backyard. Dogs come first in our household.

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?
 6ft tall fence around a 1/3 acre yard.

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:

 backyard has 1/3 acre of grass and 2 concrete patios. NO pool. No hazards.

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?
 Jade Carpenter

Willing to train children?
 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. They have learned to love our dogs with no problems.

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}