Untitled_3673

Applicant IL
State: {Applicant State:2} Date of Application: 03/06/2021 Referred by: Website, Other
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, Energetic

Other preferences:
 We have a young adult male golden retriever mix in our home already named Teddy, so any rescue corgi we house would have to be OK with other dogs. He has a passive sweet nature and is neutered

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.

Why do you want a Pembroke?
 The following is transcribed from my 8 year old son, Daniel's words:
There are many reasons why I want to adopt a Pembroke Welsh Corgi. My first experience with corgis happened in December 2020 on a day when I was feeling very sad. I went to the dog park with my dog Teddy and my mom. Three little dogs were playing in the puppy area. We decided to go in to take a closer look. I remember a small, furry little creature ran over to me and tackled me with licks and kisses. I felt so happy. We played together for almost a half hour and I could not stop laughing. My heart felt so full of love. I went home and I couldn't stop thinking about that good feeling. A few weeks later, on Christmas, my grandfather got me a stuffed corgi as a present. I named her Clementine, and I have taken the best care of her ever since. She sleeps with me every night. I have checked out many books on corgis from the library as well as researched about them on the internet with my parents supervision. I have even read a graphic novel series called "Korgi" which is super cool!

Activities planned with Pembroke:
 I would take them on walks all around my neighborhood. If they liked it, I would also take them to the dog park (there are a few close by in my neighborhood!). I would play fetch with them and make sure that they feel comfortable at all times. I would make sure that they feel safe in our house.

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 would say "NO" gently but firmly, and right away when the mistake occurred so they could connect the behavior to the idea. Even dogs make mistakes!

Discipline:
 Verbal reminders. Reward system. Brief separation in a safe space if needed.

Where would Pembroke spend the majority of the time:
 In our home or yard/neighborhood.

Discipline:
 Verbal reminders. Reward system. Brief separation in a safe space if needed.
Where would Pembroke spend the majority of the time: In our home or yard/neighborhood.

House dog or outside dog?

 House dog

People at home during the day?
 Yes!

Where would dog eat?
 In the kitchen, with our other dog.

Where would dog sleep:
 Wherever they want! (Hopefully with me!)

Play & exercise:
 As much as they want! I play all day, and they can play with our other dog as well.

How will you exercise your dog?
 Both on leash and restrained to the yard

Fenced yard?

 No, I don’t have a fenced in yard.

Willing to pick up dog waste?
 Yes, I will clean up after my dog.

Willing to use a crate?

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 tri-level single family home with a large front and back yard. There are no bodies of water in the immediate vicinity. We live less than a block away from a multi-acre park that is dog friendly, as well as many fenced dog park recreation areas.

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?
 Daniel Vash

Willing to train children?
 Absolutely. However, our boys have been raised around dogs all their lives and are seasoned pet owners

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. Our cat is indoor/outdoor, and may be going to live at another home at our neighbor's nearby

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}