Untitled_2908

Applicant IL
State: {Applicant State:2} Date of Application: 04/06/2020 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:
 Any age
Gender preferred:
 Either a Male or a Female
Color preferred:
 Any color
Activity level:
 Couch Potato, Outgoing, Quiet, 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?

 Amanda and Walter

Why do you want a Pembroke?
 We want to adopt a Pembroke Welsh Corgi because we fell in love with the breed when we adopted Kenny in 2015. Kenny was an elderly Pembroke who was surrendered by his owners, and we enjoyed giving him the best final years of his life. After living with Kenny, we decided that the Pembroke breed has a huge place in our heart, and we'd like to help any Pembroke in need.

Activities planned with Pembroke:
 We would like to take our Pembroke on walks through the Forest Preserve near us. We also have a large fenced backyard that would be ideal for daily play.

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: 		If the Pembroke makes a mistake, we would reinforce positive behavior to mitigate any mistakes happening. When mistakes happen, we would use verbal cues to try to teach him/her the right thing to do. We would be proactive about addressing the behavior as it's happening.

Discipline:
 When disciplining a dog, we will use our voices to stop unwanted behavior and implement time-outs as needed, while reinforcing good behavior with treats.

Where would Pembroke spend the majority of the time:
 Our Pembroke would spend most of it's time with us, and when we are not home, depending on the Pembroke's previous life, we would have a dedicated area of the house for the dog to occupy.

Discipline:
 When disciplining a dog, we will use our voices to stop unwanted behavior and implement time-outs as needed, while reinforcing good behavior with treats.
Where would Pembroke spend the majority of the time: Our Pembroke would spend most of it's time with us, and when we are not home, depending on the Pembroke's previous life, we would have a dedicated area of the house for the dog to occupy.

House dog or outside dog?

 House dog

People at home during the day?
 Currently, Amanda is working from home until May 4th. Walter, the pilot, is home during the day for at least half of the week.

Where would dog eat?
 The adopted corgi would eat in the kitchen with us.

Where would dog sleep:
 Our last corgi, Kenny, slept in the room beside our bed. That is where he felt the most comfortable. We feel that the adopted corgi can sleep wherever he/she feels most comfortable.

Play & exercise:
 Our adopted corgi will have many opportunities to play and exercise. We will provide them with a large backyard and with many walks thru the local forest preserve. Most of my family members and friends have dogs with whom our adopted corgi can play with as well.

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?
 Brand new 6 foot wood fence that entirely encloses our oversized backyard.

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:

 We have a large, open fenced backyard with trees.

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?
 Amanda Letrich

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?

Are you willing to work on it if your new dog doesn’t get along with your current pets right away?
 We do not have any current pets.

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}