Untitled_3933

Applicant IL
State: {Applicant State:2} Date of Application: 08/24/2021 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
Gender preferred:
 Female
Color preferred:
 Red & White
Activity level:
 Outgoing, Quiet, Playful

Other preferences:
 I am looking for a younger corgi that I could train and register as an emotional support animal. I am a firefighter that suffers from depression, anxiety, and ADHD so I am looking for a companion that can be there for me as much as I will be there for them.

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?
 I love corgis because I feel like they are a smaller version of a husky, which is my favorite dog. I have done research on the breed as well as visited homes in which a corgi resides. I have never personally owned one, but I feel I would get along real well with one and provide all the love and care it needs.

Activities planned with Pembroke:
 Going for walks, playing with toys, go for swims

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 in a stern, but calm and reassuring manner tell the Pembroke no. If the Pembroke does not listen, I will refer back to obedience training at what the best approach would be to ensure the Pembroke will not make the mistake again. Mistakes happen and the Pembroke should not be punished for doing something it did not mean to do, but also needs to learn not to make the same mistake again.

Discipline:
 In past experiences I would put the dog in the cage, but would always do so calmly without any form of agitation toward the dog. I want the dog to know I still love him/her, but also know that what they did was wrong and they cannot do it again. I NEVER hit dogs, or any animal for that matter. I love animals of all kinds.

Where would Pembroke spend the majority of the time:
 At the house, in the yard, at pet friendly parks

Discipline:
 In past experiences I would put the dog in the cage, but would always do so calmly without any form of agitation toward the dog. I want the dog to know I still love him/her, but also know that what they did was wrong and they cannot do it again. I NEVER hit dogs, or any animal for that matter. I love animals of all kinds.
Where would Pembroke spend the majority of the time: At the house, in the yard, at pet friendly parks

House dog or outside dog?

 House dog

People at home during the day?
 Sometimes. My job is also only about 30 seconds away from home and I would regularly stop at the house and spend time with the dog.

Where would dog eat?
 At home. Dog bowls would be set up in the kitchen to provide food and water.

Where would dog sleep:
 Where every she would like. I have a queen size bed so plenty of room if she chose to want to sleep with me, or on the couch if she chooses. Where ever she feels comfortable.

Play & exercise:
 I will have plenty of toys for her to play with, and take her outside or to parks as often as I can. I want her to be able to play and exercise as much as possible and be as happy as she can be.

How will you exercise your dog?
 Both on leash and restrained to the yard

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:
 Live with father

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:

 Open back yard with small trees. open front yard with a porch, one tree on the side yard, two trees in parkway

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?
 Kevin Luther

Willing to train children?
 I do not have children currently, but I will teach any children that will be in the home how to care for animals.

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. I will work with both animals to ensure that they get along and respect each other's space.

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}