Untitled_3693

Applicant IL
State: {Applicant State:2} Date of Application: 03/16/2021 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, 5 years – 10 years
Gender preferred:
 Either a Male or a Female
Color preferred:
 Any color
Activity level:
 Couch Potato, Outgoing, Quiet, Playful, Energetic

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?

 Debra French/Jesus Rodriguez
Debra will be the primary caretaker.

Why do you want a Pembroke?
 They are cute, devoted, playful, good company, will let you know if someone is around. Ive never owned a corgi. My friend had a corgi and whenever I visited which was frequently, that corge was very devoted to my friend. I would bring Mitzie, my sheltie and we would play in the yard with balls and hoops for the dogs and they ran all over and played. We took them on walks together, the corgi got along well with Mitzie and liked me alot too. She was very personable.

Activities planned with Pembroke:
 Walks, traveling, games in the yard and snuggling on the couch, dress up and picture taking.

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: 		Diversion, remove from the situation, say "no" firmly, talk to the corgi

Discipline:
 You know I think diverting the dog from that situation is the best.
Lots of times they just need attention so I put their head in my hands, pet them and talk to them.
Take them to another area of the house/yard. A differant view is good too.

Where would Pembroke spend the majority of the time:
 With me in the house or the yard.

Discipline:
 You know I think diverting the dog from that situation is the best.
Lots of times they just need attention so I put their head in my hands, pet them and talk to them.
Take them to another area of the house/yard. A differant view is good too.
Where would Pembroke spend the majority of the time: With me in the house or the yard.

House dog or outside dog?

 House dog

People at home during the day?
 Im home most of the time.

Where would dog eat?
 I have a mat on the tile floor of my dining room where thepets eat.

Where would dog sleep:
 With me in my room in his bed or in the hall. Which ever he prefers

Play & exercise:
 Games in my yard, walks in my nieghborhood. 2-3 times aday.

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?
 4 ft picket fence

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:

 Mostly just grass, a small patio, plants/garden flowers around the edges in the spring to fall. Large maple tree for shade inside the fenced area. No pool. My yard is a double lot so it is large.

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?
 Debra

Willing to train children?
 My kids are all grown with kids and pets of their own. I am comfortable letting them know how to treat my pets.

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?
 Hula the cat thinks she should be the first one through any door. She will hiss and swat at ShyAnne if she goes first, it is brief and ShyAnne basically ignores these actions. It never goes beyond that. If it did, I would intervene. Ive already shouted "no" at Hula but cats dont listen or really care.

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}