Untitled_3900

Applicant IL
State: {Applicant State:2} Date of Application: 08/01/2021 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:
 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:
 Female
Color preferred:
 Any color
Activity level:
 Outgoing, Quiet, Playful, Energetic, Other (Please describe in the box below.)

Other preferences:
 I just recently had to say goodbye to my 11 year old Corgi and my heart is hurting in her absence. I’m willing to wait for the perfect match for me and my life.

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?

 Brody Wallin (myself)

Why do you want a Pembroke?
 I had a Corgi since she was 9 weeks old. She was born 10/05/2009. Despite all of the medical nightmares with her, the breed has my heart. Their intelligence, their attitude, their love, it’s really one of a kind.

Activities planned with Pembroke:
 I’d love to play in my fenced in backyard, go for walks, go for car rides, and take them everywhere I possibly could with me.

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 correct the behavior with firm, but gentle commands. I know often times they are so smart, you have to figure out how to correct what they are doing that is unsavory. If I could not figure it out myself, I would reach out to professional trainers for guidance.

Discipline:
 Hand signals, firm commands like “no,” correction of behavior with positive alternatives/reinforcement to redirect them, praise and treats upon correct execution of a command or task, and lots of patience while teaching new commands/tricks

Where would Pembroke spend the majority of the time:
 Inside the home, but I would take them outside and out of the home with me (not unsupervised)

Discipline:
 Hand signals, firm commands like “no,” correction of behavior with positive alternatives/reinforcement to redirect them, praise and treats upon correct execution of a command or task, and lots of patience while teaching new commands/tricks
Where would Pembroke spend the majority of the time: Inside the home, but I would take them outside and out of the home with me (not unsupervised)

House dog or outside dog?

 House dog

People at home during the day?
 Yes, I work the night shift, so I am home all day

Where would dog eat?
 Inside the home, out of their own dish, at appropriate meal times to keep their weight ideal

Where would dog sleep:
 In bed with me or a kennel or a dog bed, depending on what they chose (my former Corgi would like to sleep different places)

Play & exercise:
 Walks, playing in the yard, and playing in the house with toys

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?
 6 foot tall wooden fence on two sides, 5 foot tall chain link fence on third side, two separate locked gates, one in the back and one around the side of the house.

Living arrangements:
 I rent from my parents, they do not have an issue with me having a dog

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:

 Full backyard, fenced in, several plants and trees, small pond

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?
 Brody Wallin

Willing to train children?
 No children are in the 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?
 Absolutely, but only the rabbit might interact with them, all other pets are kept separate for everyone’s safety

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}