Untitled_3724

Applicant IL
State: {Applicant State:2} Date of Application: 03/29/2021 Referred by: 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:
 0 months – 1 year (we rarely get dogs in this age group), 1 year – 3 years, 3 years – 5 years, 5 years – 10 years
Gender preferred:
 Either a Male or a Female
Color preferred:
 Red & White, Red Headed Tri, Black Headed Tri, Sable & White, Any color
Activity level:
 Couch Potato, Outgoing, Quiet, Playful, Energetic, Very Active

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, but will likely spend more time with Deanna.

Why do you want a Pembroke?
 I love this breed. They are such good, loyal yet protective dogs. I love the personality this breed has as well as the looks and energy. I have had 3 corgis of my own and did foster a dog named Lady for Lakeshore from 2009-2011. Lady was a dog that was pulled from the Detroit Humane Society with mammary tumors, and we were her permanent foster home until her time on Earth was through.

Activities planned with Pembroke:
 I like to take walks in the local parks and I spend a lot of time outside. I also have horses so I am in the barn a lot. I enjoy spending time just hanging out with my dogs in the house or yard as well. My husband likes to play with them outside in our fenced backyard and go for walks with me when he can.

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: 		Through training and redirection activities. Also positive reinforcement.

Discipline:
 A stern no, redirection and training to help the dog understand the right from wrong. We do not abuse or get physically aggressive with our dogs. We have found that stern voice and quick sharp "no" or "eh!" with redirection works well to stop or prevent a behavior. If it is a nipping problem, a stern no and a soft flick to the nose has worked in the past for us, however, flicking is a last resort when the vocal commands did not work.

Where would Pembroke spend the majority of the time:
 In our home. None of our dogs live outside, they are inside dogs that go out to potty or be with us.

Discipline:
 A stern no, redirection and training to help the dog understand the right from wrong. We do not abuse or get physically aggressive with our dogs. We have found that stern voice and quick sharp "no" or "eh!" with redirection works well to stop or prevent a behavior. If it is a nipping problem, a stern no and a soft flick to the nose has worked in the past for us, however, flicking is a last resort when the vocal commands did not work.
Where would Pembroke spend the majority of the time: In our home. None of our dogs live outside, they are inside dogs that go out to potty or be with us.

House dog or outside dog?

 House dog

People at home during the day?
 Yes, one or both of us are home during the day

Where would dog eat?
 In the dining room, spaced apart from the other two dogs.

Where would dog sleep:
 Wherever it wanted, including dogs beds, our furniture or even our bed.

Play & exercise:
 Frequent park trips, outdoor time in our fenced backyard, trips with Deanna to the barn, supervised play time in our yard outside the fence on a leash.

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?
 Two sides are wooden privacy fence that joins up to chain link panels to finish off the third side and connect to the backside of our garage and house. The garage and house make up the fourth side of the yard 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:

 Backyard is open without objects. Our back door goes right out into the fenced in portion of our back yard and there are spots of sun and shade throughout the day.

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?
 Deanna

Willing to train children?
 We have no children in our home.

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 are. We understand a new home is stressful for the adopted dog and can be stressful for the resident dogs.

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}