Untitled_3382

Applicant IL
State: {Applicant State:2} Date of Application: 10/31/2020 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, 3 years – 5 years, 5 years – 10 years, 10 years +, Any age
Gender preferred:
 Either a Male or a Female
Color preferred:
 Red & White, Red Headed Tri, Sable & White
Activity level:
 Outgoing, 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?

 Mother and son

Why do you want a Pembroke?
 I love the breed of it. I fell in love with the breed when I went to my cousin house and their neighbor had a red coat Pembrook corgi. I love that it is a small dog that comes with a big personality. Highly energetic dog that will help my mom keep up with her active lifestyle at home. Most of all being able to provide a loving home to such a majestic animal.

Activities planned with Pembroke:
 I would take it for a walk every day . Over the weekend I would take the dog to dog parks all over Simpsonville. There is a lot of nature trails for me and the dog to explore. I will take it additionally to dog classes to help it become accustomed to socializing with other dogs and humans.

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: 		Be assertive and firm without showing hostility of anger. Use positive reinforcement when mistakes are not made.

Discipline:
 Vocalize with the dog telling it no you can’t do that. If the dog is being stubborn put it into a time out for a bit but I would still show affection.

Where would Pembroke spend the majority of the time:
 In the house and my backyard that has a fence. If can explore as much as it wants since we have a fenced backyard. When it’s outside it can roam wherever it wants as long if not a danger to the Pembroke.

Discipline:
 Vocalize with the dog telling it no you can’t do that. If the dog is being stubborn put it into a time out for a bit but I would still show affection.
Where would Pembroke spend the majority of the time: In the house and my backyard that has a fence. If can explore as much as it wants since we have a fenced backyard. When it’s outside it can roam wherever it wants as long if not a danger to the Pembroke.

House dog or outside dog?

 House dog

People at home during the day?
 Yes. My mother works from home , never goes out so she is always at home. I am home for the majority of the day. I only go outside when I need to get food, gym or other essentials

Where would dog eat?
 In the kitchen. I heard it’s important when training dogs like corgi to establish designed spots for it to eat.

Where would dog sleep:
 If I’m getting a puppy then It will sleep in it’s comfy cage right next to me in my room. If I’m getting a corgi that isn’t use to sleeping in it’s cage then it can sleep In my bed with me so it feels safe and secure.

Play & exercise:
 Everyday after my workout I will make sure I take my adopted corgi outside for a walk around the subdivision. My subdivision is very large. When I’m home I will play with my corgi throwing balls around and give it stimulation with toys. Over the weekend I will take it on nature trails and dog parks.

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?
 A large white fence covering a large enclosed area

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:

 I don’t have any poll. Just a decent sized yard that is well maintained.

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?
 Sawan Patel

Willing to train children?
 I don’t have any Children, but any child that visits my home I will teach the child how to care for an animal so that my adapted corgi becomes well accustomed to the child in a loving manner.

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?
 I don’t have any pets. Not planning to own future 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}