Untitled_3906

Applicant IL
State: {Applicant State:2} Date of Application: 08/03/2021 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
Gender preferred:
 Either a Male or a Female
Color preferred:
 Any color
Activity level:
 Playful

Other preferences:
 Family friendly. Cat compatible.

Previous dog owner?
 No
 
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?

 I am hoping to adopt a corgi. I live with my 22 yr old son. I also have 2 sister kitties who are 3 yrs old named Holly and Ivy. They are house kitties. I would like a walking and play in the yard dog friend. Our yard is fenced. I love to walk and my walks are usually 3 mi or a couple
Of shorter walks a day. I live about 1.5 mi from Bay View park by Lake Michigan and there is also a dog park in my area. My Vet would be St Francis Animal Hospital- Animal clinic which is also not far from my home. My dog would receive lots of love, treats, good food and regular vet and grooming visits. I have other children who are older and I have a German Shepherd and a husky “grand dogs”. I’ve also done dog sitting. Hope you consider me.

Why do you want a Pembroke?
 I dog sat for a Corgi for a week. I loved the dogShe would go for walks with me and also relax with me in the yard. She was also very smart and got along with my kitties reasonably well. My house and yard are smaller so this is a good size breed for me.

Activities planned with Pembroke:
 Walks
Fetch
Petting and tummy rubs
Talk to them while gardening, hanging out in the yard and doing things in the 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: 		If the dog was upset, I would put her in her kennel to calm down. I would use calm commands to correct behavior. Also reinforce positive behaviors with healthy treats.

Discipline:
 Positive reinforcement. Calm voice instruction and signals like down, or stop.

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

Discipline:
 Positive reinforcement. Calm voice instruction and signals like down, or stop.
Where would Pembroke spend the majority of the time: With me in house or yard. Walks in the neighborhood.

House dog or outside dog?

 House dog

People at home during the day?
 Yes.

Where would dog eat?
 I would get a pet food recommendation from the vet. Probably start off with whatever food the puppy/ dog eats currently then adjust if pet recommends. Also healthy treats – vet recommended.

Where would dog sleep:
 At first in their crate, likely in the spare bedroom so she feels safe. Gradually, when the dog is adjusted, she can sleep where she/he wants. I wouldn’t require the dog to be crated at night after she/he is used to their new home.

Play & exercise:
 Fetch or running around in the yard with me and/or my son. Also about 30-60 min of walking a day – would depend on how the dog does. Maybe weekly or so, depending on how the dog does, go to the dog park. Walks with my daughter and granddaughter and their dogs. Play and walk daily.

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?
 5or 6 foot wooden fence. 2 years old. Surrounds largish city lot with grass, perennials and 2 mature maple trees. Has 2 wooden gates, front & back with low height so dogs don’t get out.

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:

 Yard is a largish city lot with a wooden fence and gates – secure. Perennials around edges. 2 mature maple trees. Room to run around and play fetch. Our neighborhood has sidewalks and mature trees lining the roads. Parks w/in walking distance. Dog park near.

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?
 Beverly Mantyh

Willing to train children?
 Yes

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?

 No, some of our current pets are not friendly toward dogs

Are you willing to work on it if your new dog doesn’t get along with your current pets right away?
 The cats get used dogs when I’m dog sitting. It takes a while but then they’re ok.

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}