Untitled_3066

Applicant IL
State: {Applicant State:2} Date of Application: 06/12/2020 Referred by: Website
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, Either a Male or a Female
Color preferred:
 Red Headed Tri, Black Headed Tri, Any color
Activity level:
 Couch Potato, Outgoing, Quiet, Playful, Energetic, Other (Please describe in the box below.)

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?

 My mother and I/family

Why do you want a Pembroke?
 I want to adopt a Corgi because they are the right balance of energetic and cuddly. I love how smart they are and how they need stimulation through playing/exercise. I am a very active person and would love a companion to go on runs, swim, and play fetch with. I have done a lot of research on the breed and it seems we would be a perfect match!

Activities planned with Pembroke:
 I would take my corgi on runs, swimming, go to the park, and too play fetch.

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?

 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: 		If my Pembroke made a mistake, for example, biting, chewing on furniture, I would calmly guide it to another object and show him/her it's not okay. Or I could use a noise method, for instance, if it bit me I could reciprocate a yelp showing the dog that it hurts.

Discipline:
 I use methods such as redirecting, silent treatment, exercise, or a time out room.

Where would Pembroke spend the majority of the time:
 Besides daily exercise, my Corgi would spend most of its time inside our home.

Discipline:
 I use methods such as redirecting, silent treatment, exercise, or a time out room.
Where would Pembroke spend the majority of the time: Besides daily exercise, my Corgi would spend most of its time inside our home.

House dog or outside dog?

 House dog

People at home during the day?
 Yes, almost always there is someone home.

Where would dog eat?
 My Pembroke would eat in a designated room in the house, such as a bathroom or the kitchen.

Where would dog sleep:
 He/she would sleep on a dog bed on the floor in my bedroom or on my bed.

Play & exercise:
 My Corgi would get a lot of exercise daily to prevent it from boredom/ destroying the house. The exercise will be through walks/runs, swimming, and common play games like fetch.

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:
 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 big yard with many trees and a garden, no pools or fixtures.

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?
 Angela

Willing to train children?
 I am the youngest person in the house (16) and I have grown up with dogs of all sizes and personalities.

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?
 If we get any future pets we are more than willing to resolve the problem of them getting along.

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}