Untitled_3544

Applicant IL
State: {Applicant State:2} Date of Application: 01/01/2021 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:
 1 year – 3 years, 3 years – 5 years
Gender preferred:
 Either a Male or a Female
Color preferred:
 Red & White, Red Headed Tri
Activity level:
 Couch Potato, Outgoing, Quiet, Playful

Other preferences:

Previous dog owner?
 No
 
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?

 for our family:
Jason, Erika, and Sam (16 year old son)

Why do you want a Pembroke?
 Our family would love the opportunity to adopt a Corgi. Over the years, we’ve had many pets including two cats, guinea pigs, and even a frog. We’ve been in the process of considering adopting a dog for several years, and as such, we’ve done tremendous amounts of research on Corgis and on other breeds. We are especially interested in Corgis due to their intelligence, playful nature, and warm personalities.

Activities planned with Pembroke:
 We have a reasonably-sized house and a large yard, and we’d love to play outside with the dog. There are many walking paths and parks near our house for us to walk the dog. After the pandemic is over, we would also love to travel with the dog.

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: 		We would clean up the accident right away. In the future, we'd encourage the dog to go outside and positively reinforce their good behavior.

Discipline:
 For any negative behavior, we would first look back at our own actions and assess the problem.

We would thoroughly doggy-proof the house and spend additional time playing with the dog to prevent any destructive behavior.

If the dog showed repeated negative behavior towards humans, we would look into additional training classes for them.

In general, we'd always use positive reinforcement to encourage good behavior.

Where would Pembroke spend the majority of the time:
 The Corgi would spend most of their time inside, wherever they want. All areas accessible to the dog would be doggy-proofed.

Any time the Corgi spends outside would either be enclosed (within the confines of the fence or on a tether) or supervised.


Discipline:
 For any negative behavior, we would first look back at our own actions and assess the problem.

We would thoroughly doggy-proof the house and spend additional time playing with the dog to prevent any destructive behavior.

If the dog showed repeated negative behavior towards humans, we would look into additional training classes for them.

In general, we'd always use positive reinforcement to encourage good behavior.
Where would Pembroke spend the majority of the time: The Corgi would spend most of their time inside, wherever they want. All areas accessible to the dog would be doggy-proofed.

Any time the Corgi spends outside would either be enclosed (within the confines of the fence or on a tether) or supervised.

House dog or outside dog?

 House dog

People at home during the day?
 Usually, yes.

Where would dog eat?
 We would set up pet bowls in the kitchen. They would access to fresh water.

Where would dog sleep:
 We will set up several beds around the house for the dog, but they will be welcome to sleep in a bed with a human if they please.

Play & exercise:
 We will take the dog on at least two dogs per day. In addition, we will play with the dog both inside and outside (weather permitting).

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?
 We just tore down a 4 foot tall vinyl fence, and we plan to install a new one in the spring.

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 0.4 acre yard. We have a fence which is being replaced. There is a small patio, trees, and a playset. There's lots of room for a dog to play.

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?
 Jason

Willing to train children?
 Yes, our child is in high school and has a lot of experience taking care of animals.

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.

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}