Untitled_3887

Applicant IL
State: {Applicant State:2} Date of Application: 07/20/2021 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, Very Active

Other preferences:
 I am looking for a more outgoing corgi who loves to snuggle. I am happy with any activity level – I myself am quite active, but I would be more than happy with couch potato as well.

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?

 Myself

Why do you want a Pembroke?
 One of the things I admire most about Corgis is how intelligent they are. I am looking for a dog who would love to train and learn new tasks. Every Corgi I have met has a big personality – I myself have a big personality, and I am looking for a fur best friend who can match mine. I have recently done a lot of research on the breed and admire its rich history and admirable qualities in terms of intellect and kindness.

Activities planned with Pembroke:
 I love to go for walks, and would take my Pembroke for at least one long walk every day. We would sunbathe together, play fetch and chase each other, have long conversations about how much we love treats and, when the day is done, curl up next to each other on the couch and watch a movie.

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: 		If the Pembroke made a mistake, I would remove its attention from the bad behavior and redirect that attention to something positive. I believe that patience is very important in disciplining mistakes.

Discipline:
 I believe in positive reinforcement as a way of discipline. I plan to be very patient and consistent with my Pembroke, rewarding good behavior as a way to train and discipline the dog.

Where would Pembroke spend the majority of the time:
 My Pembroke would spend most of his or her time in the home with me.

Discipline:
 I believe in positive reinforcement as a way of discipline. I plan to be very patient and consistent with my Pembroke, rewarding good behavior as a way to train and discipline the dog.
Where would Pembroke spend the majority of the time: My Pembroke would spend most of his or her time in the home with me.

House dog or outside dog?

 House dog

People at home during the day?
 Partially – I am a student with a part-time job, so I will not leave the dog for more than 4-6 hours at a time. I do not have class and work every day, so there will be days during the week where I will be home all day.

Where would dog eat?
 My Corgi would eat in the home.

Where would dog sleep:
 My Corgi would sleep in the home on a comfy bed with lots of blankets and toys.

Play & exercise:
 I like long walks and love to exercise, so we will go for a long walk every day. I also plan to play stimulating games like fetch, tug-of-war, and hide-and-seek.

How will you exercise your dog?
 On leash

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:
 Rent/lease 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?
 No, you may not contact my landlord.

Lease allow dogs:
 Yes, my lease permits dogs.

Landlord permission:
 Yes, my landlord is fine with me owning a Pembroke

Restrictive covenants?
 Not applicable

Breed/size restrictions?
 Yes

Description of yard:

 Not applicable

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?

 No, I will not 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?
 Ellis Heyen

Willing to train children?
 I do not have any children.

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?

Are you willing to work on it if your new dog doesn’t get along with your current pets right away?
 I don't have other pets at this time, but I am absolutely willing to do so should I add another pet in the future.

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}