Untitled_3999

Applicant IL
State: {Applicant State:2} Date of Application: 10/17/2021 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:
 Couch Potato, Outgoing, Quiet, Playful

Other preferences:
 I work 12 hour night shifts at the hospital so the dog needs to be ok on it's own for a while. I also love to go to dog parks with my friends and their corgis so I would love to bring another dog into the pack!

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?

 My companion

Why do you want a Pembroke?
 My neighbor and friend has 2 pembroke welsh corgis. I have loved going on walks with them and going to the dog parks. I love that they enjoy running off their energy and playing with each other and the other dogs, or going on long walks (which I do on my own but would love a companion for) but are also ok with doing their own thing at times. They seem like the perfect mix of activity and homebody for me because I love to walk but also relax at home.

Activities planned with Pembroke:
 I love long walks and routinely go on 3-5 mile walks on my own so they would be a great companion. I also love to go to the dog parks. I also have a neighbor friend with Corgis that the dog could be friends with – we even share a side yard so we have even talked about how they could potentially share one large yard together.

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?

 No

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: 		Correcting and redirecting.

Discipline:
 Verbal cues of dissatisfaction, immediately pointing out the error so they are not confused, and if necessary separating them from the offending situation – crate or another room for a period of time.

Where would Pembroke spend the majority of the time:
 Free in the home would be my preference but crate/yard as needed for the specific dog.

Discipline:
 Verbal cues of dissatisfaction, immediately pointing out the error so they are not confused, and if necessary separating them from the offending situation – crate or another room for a period of time.
Where would Pembroke spend the majority of the time: Free in the home would be my preference but crate/yard as needed for the specific dog.

House dog or outside dog?

 House dog

People at home during the day?
 I work night shift I would be home but at night the dog would be alone for periods of time (3 nights a week). I also have a neighbor willing to take the dog for some evening hours or walks as needed.

Where would dog eat?
 From a bowl in the kitchen

Where would dog sleep:
 On a dog bed, crate, or maybe in bed with me at times.

Play & exercise:
 Like I said previously – I would love to take it on long walks and to the dog park. I would make sure it got exercise every day.

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:
 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:

 I have a wrap around yard on a cul-de-sac in Madison. There is a small neighborhood park in the back and up a hill from my house. I have a porch and a pergola with a swing. It is a very pet friendly neighborhood with dogs on all sides of me.

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?
 Emily Akright

Willing to train children?
 I do not have children but I will make sure my nieces and nephews (9-14) will treat the dog well.

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?
 Yes

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}