Untitled_3652

Applicant IL
State: {Applicant State:2} Date of Application: 02/23/2021 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:
 Any age
Gender preferred:
 Either a Male or a Female
Color preferred:
 Any color
Activity level:
 Couch Potato, Other (Please describe in the box below.)

Other preferences:
 I have a rat terrier mix (age >20) dog and a large sedentary orange tabby cat (age 15) also in the home.
So, mom and 2 boys (ages 18 & 16), one other cat and dog to socialize with new pet

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?

 Our family, but with Abe (age 18) being primary owner of the dog.

Why do you want a Pembroke?
 They are very cute of course. We have done research on temperment and ability to be family pet, exercise needs, and common health concerns. We do not have experiences with this breed.

Activities planned with Pembroke:
 My current old dog doesn't like to play with toys but we would be able to provide fetch and tug toys for small dogs. We have a large back yard that ends at a creek with trails. We would go on walks with dog. We have a pool. If a new pet seems to be water friendly inclined we'd play in the shallow end with dog and/or float with depending on dog interest and trust level. We have a smaller fenced in area to allow dog run and bathroom breaks. We'd attempt to teach and/or reward tricks. And last but not least snuggle and love the new pet

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: 		I will say no. Abe and Pembroke will go to obedience class to learn how to best work through this.
I prefer to reward good behavior

Discipline:
 My current dog, Mr Whiskers is perfect. But if there is an accident in the house I look at him and ask if he did this? Sometimes he looks guilty and I believe that is punishment enough. He is an old dog. I purposely have floors that clean up easily

Where would Pembroke spend the majority of the time:
 on our laps probably. Abe hangs out in the basement playing games or in the living room watching TV. We have an indoor pool which we also walk laps around. I anticipate or hope for a Pembroke that hangs out with us no matter what we are doing.

Discipline:
 My current dog, Mr Whiskers is perfect. But if there is an accident in the house I look at him and ask if he did this? Sometimes he looks guilty and I believe that is punishment enough. He is an old dog. I purposely have floors that clean up easily
Where would Pembroke spend the majority of the time: on our laps probably. Abe hangs out in the basement playing games or in the living room watching TV. We have an indoor pool which we also walk laps around. I anticipate or hope for a Pembroke that hangs out with us no matter what we are doing.

House dog or outside dog?

 House dog

People at home during the day?
 Abe is home during the day and has just started a part-time job on Midnights. I work during the day and am home at night. Roman, my other son is currently in Hybrid school – part online and part face to face during the day.

Where would dog eat?
 We have an open feed currently with my old dog and cat. It hasn't been a problem. This can be adjusted if needed to accommodate the new pet. And/or he can have his meals provided downstairs. My older pets do not go down the steps and the basement with Abe could be his domain.

Where would dog sleep:
 My pets sleep with me. We also have dog beds in almost every room for Mr Whiskers and new dog to rest in depending on which room we're in. I have a dog bed in the dining room and in my office as I can't have dog in my lap at that time. And as my dog has gotten older, he doesn't always like to be lifted up to the couch or my bed and he goes to the dog beds in my room/closet and/or living room depending on where I am at in the house

Play & exercise:
 Well, as a new and exciting pet the new corgi would be showered with attention as we explore what type of play they enjoy. We all have Fitbits and try to get 10,000 steps daily so if little corgi can keep up they can walk with us. Otherwise, in warm weather I like to walk back to the creek and back daily. We would play tug and fetch. We'd take the dog to dog park. Lots of options.

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?
 I have a large open area which is unfenced but also a smaller fenced in area. Fence is standard chain link

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:

 There is a wood deck in the back yard with one step to get down to the yard. There is one tree and a trampoline. Then open flat yard that backs up to wooded area with creek soon there after. On the side of the house there is a fenced area with plantings and bird feeders. The front yard has large driveway up to a 3 car garage; also a half circle drive. There are lots of bunnys.

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?
 Abe Manssur

Willing to train children?
 I have done this. My boys will be 17 and 19 this year, they are very kind to 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}