Untitled_3545

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:
 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, 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?

 Both of us and our rescue pup (she is an 8 year old beagle corgi mix)

Why do you want a Pembroke?
 We have fallen in love with the corgi aspects of our current rescue pup. She is playful but always willing to cuddle. We love that balance. She demands attention and we are always willing to show her all the love we have for her. We also love her sploots (: we have definitely researched the breed and are ready for all our future corgi has to offer.

Activities planned with Pembroke:
 We go on daily walks around the lake by our house. Our current dog doesn’t like to play with toys, but if our corgi does, we will gladly play with them inside and outside our house. We also like to play in other ways such as chase. We will also partake in obedience training with our pup. We see it as a o ding experience as well as a learning and growth opportunity for them.

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: 		Depending on the mistake, it’s either a quick “tsst” sound to make them stop or it’s by redirecting the behavior and rewarding the good behavior

Discipline:
 Never do we discipline. We stop bad or dangerous behaviors (as said above) and reward good behaviors.

Where would Pembroke spend the majority of the time:
 Inside the house or our fenced in yard. Our current dog also likes to spend time in her crate, which is left open for her to choose to go in there. We will also provide a crate for our corgi.

Discipline:
 Never do we discipline. We stop bad or dangerous behaviors (as said above) and reward good behaviors.
Where would Pembroke spend the majority of the time: Inside the house or our fenced in yard. Our current dog also likes to spend time in her crate, which is left open for her to choose to go in there. We will also provide a crate for our corgi.

House dog or outside dog?

 House dog

People at home during the day?
 Yes. Our current dog is left alone for no more than 4 hours (typically 1-2) and that occurs about once every 1-2 weeks. Andrew works from home so the dogs will almost always be in his company.

Where would dog eat?
 In our kitchen.

Where would dog sleep:
 In their crate or dog bed or with us in our bed.

Play & exercise:
 They will exercise at least 30 minutes/day (of which is formal exercise, i.e. walking or training). Another (at least) 30 minutes/day will be playing.

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?
 Wooden fence (built in 2020) that is about 4 feet tall.

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:

 Medium sized fenced in yard with a small concrete path and large tree in the middle.

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?
 Hannah Uphoff

Willing to train children?
 Absolutely! We will treat our human and four-legged children with equal love and respect.

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. We believe all dogs are good in nature and can coexist with all other animals and humans.

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}