Untitled_2946

Applicant IL
State: {Applicant State:2} Date of Application: 04/24/2020 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:
 Either a Male or a Female
Color preferred:
 Any color
Activity level:
 Couch Potato, Quiet, Playful, Other (Please describe in the box below.)

Other preferences:
 Loves kids. Loves family. Loves dogs. Preferably closer to 1 year old if possible.

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?

 Rachel and Mitch and the whole family. We have four kids ages 6-10 and a two year old pomsky.

Why do you want a Pembroke?
 (Rachel) I have ALWAYS adored the breed and always dreamed of having a Pembroke Welsh. I had a friend long ago who had one and the first time I met her hit me like a ton of bricks. It was love at first sight. The more I learned about them the more I loved them. They’re the whole package. Intelligent and sweet, affectionate and hard working, active but still cuddly. They require dedication and time but give that dedication and time right back. While I am the biggest corgi fan, I discussed different dogs with the family and we all agreed that a corgi would fit our family and lifestyle perfectly.

Activities planned with Pembroke:
 We are already a dog family and many of our activities are planned around including our pomsky. We go for two mile walks almost daily. We live in the country near many trails. We play in the backyard regularly. We visit family for puppy play dates (a terrier, a blue heeler and a boxer mix) and we have seven dogs for neighbors ranging from a bull mastiff to a Pomeranian and they ALL play well. Daily “chill” time includes tug-o-war and endless cuddling. We also like to find fun little brain games to challenge our pomsky and give her a change of pace.

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: 		Depends on the mistake. If it’s potty training, a loud NO if caught in the act and take the dog outside immediately after and encourage to go potty repeatedly until they go, then heavy positive reinforcement and a treat.

If the dog acts out or disobeys, we follow the same actions as above. Immediately correct them, take them aside and show them how we want them to act appropriately in that instance and give heavy positive reinforcement when the desired action is acted out.


Discipline:
 Verbal correction. “no” “stop” “off” “ drop” and positive reinforcement when they do what is desired.

Where would Pembroke spend the majority of the time:
 At our side. Free reign within the house and travel with us to most places when we leave. We crate train our dogs and they have their safe space while we are at work.

Discipline:
 Verbal correction. “no” “stop” “off” “ drop” and positive reinforcement when they do what is desired.
Where would Pembroke spend the majority of the time: At our side. Free reign within the house and travel with us to most places when we leave. We crate train our dogs and they have their safe space while we are at work.

House dog or outside dog?

 House dog

People at home during the day?
 Morning and early afternoon I’m home. No one during mid-day.

Where would dog eat?
 Dog food and water are fed in the dining room.

Where would dog sleep:
 In our room with us.

Play & exercise:
 Morning walk or play before leaving for work, then all afternoon and evening we are in the backyard, going for a walk or the kids are playing and romping with them on and off. Our pomsky also LOVES to play as much as cuddle so she will keep him/her plenty occupied!

How will you exercise your dog?
 Both on leash and restrained to the yard

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:
 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:

 Not fenced in but backyard is lined with bushes. Our whole lot is .2 acres and the backyard consists of a back deck, grassy yard, a gazebo and a fire pit.

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?
 Rachel and Mitch equally

Willing to train children?
 Absolutely. They already are well acquainted with dogs, cats and horses.

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. Absolutely.

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}