Untitled_3491

Applicant IL
State: {Applicant State:2} Date of Application: 12/08/2020 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:
 Any age
Gender preferred:
 Either a Male or a Female
Color preferred:
 Any color
Activity level:
 Couch Potato, Outgoing, Quiet, Playful

Other preferences:
 For a young boy, so family friendly! No other pets in the house. We would also love to pick up a furry friend before Christmas 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?

 My 5 year old Nephew (and his family)

Why do you want a Pembroke?
 My nephew has had a stuffed corgi named Jimmy for his entire (albeit short) life. He has always loved corgies. Their sweet smile, their cute stature. They are, in his eyes, the perfect furry friend. His mother was and is the same way.

Activities planned with Pembroke:
 Walk him/her daily, feed them the best they can, and we can even send updates with photos to let you know how well they’re doing! We also would love a sweet snuggler

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: 		Use proper training with reinforcement techniques, such as showing the pup the correct way to do something. Punishment works very rarely with a lot of different pets, and for pets who are loving and loyal, use each opportunity for a learning experience for the dog, as the dog just wants you to love them as much as they love you.

Discipline:
 When discipline is necessary, I believe that a scolding is sometimes in order. Never physical violence, obviously! But telling the dog no, teaching them to go into a “time-out” spot are great tools for teaching the pet how to behave better.

Where would Pembroke spend the majority of the time:
 Mostly inside the house, which is two story. There is also a very nice backyard and a lovely neighborhood for walking, close to campus.

Discipline:
 When discipline is necessary, I believe that a scolding is sometimes in order. Never physical violence, obviously! But telling the dog no, teaching them to go into a “time-out” spot are great tools for teaching the pet how to behave better.
Where would Pembroke spend the majority of the time: Mostly inside the house, which is two story. There is also a very nice backyard and a lovely neighborhood for walking, close to campus.

House dog or outside dog?

 House dog

People at home during the day?
 For the most part, yes. If there isn’t, it isn’t for very long.

Where would dog eat?
 Most likely in the kitchen area will be where the food and water is.

Where would dog sleep:
 With Rory, my 5 year old nephew on his bed.

Play & exercise:
 Running outside or playing outside, of course!

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?
 Tall wooden fence all around the outside.

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 backyard with a tall fence and a big tree

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?

 No, I will not 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?
 Rory

Willing to train children?
 Of course!

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?
 N/A

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}