Untitled_4021

Applicant IL
State: {Applicant State:2} Date of Application: 11/05/2021 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, Energetic, Very Active, Other (Please describe in the box below.)

Other preferences:
 My only concern is temperament with another dog. I do not have any other cat or dog in my household, but my landlord has one downstairs and they may share a yard sometimes. His dog is very well tempered with other dogs, and I would like to be able to train mine to be the same if I need to.

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 would be adopting for myself. I live in an adult home in a duplex upper, and am looking for a companion to offer me regular responsibilities at home. A Pembroke would be the ideal breed for me as I have a small vehicle, and would be able to carry it up and down staircases if ever necessary. I also have a very large yard for exercise and play outside of walks. Thank you very much for the opportunity

Why do you want a Pembroke?
 I've never had a dog smaller than a Husky (as a child and teenager), but I always preferred smaller dog breeds due to my physical strength. While this would be my first time having a dog as an adult, I would physically be able to manage it. Aside from aesthetics, Pembrokes always stuck out for me for their level of comfort in the home. They have a great balance of requiring attention and training, needing moderate exercise, and relaxation in the house during off-hours. I've visited older adults who have had them for long periods of time and were able to build a comfortable schedule relatively easily with them.

Activities planned with Pembroke:
 A guaranteed daily walk of at least 3 miles. This is a goal for myself either way, but a dog would also give me much more drive as well. I also plan on trying out higher energy activities in my yard with fetching toys in afternoons in lieu of a second walk.

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: 		I am very patient especially in the home. I understand that accidents may happen and that there is no need for punishment in training a dog. I would simply resolve the situation and try to guide the dog to avoid the repetition of the mistake slowly.

Discipline:
 I plan on trying a discipline based on inattention for bad behaviors and praise for good ones. The most I would actively do for discipline is separating the dog from the stimulus, and repeating this until they associate the negative behaviors with removal, and lack of negative behaviors with some praise. I understand this will be a long gradual process, but will slowly build up to repetitive good behaviors.

Where would Pembroke spend the majority of the time:
 I anticipate the Pembroke spending more time inside than outside for the first year until I can establish their comfort level in my yard with another dog. I will accompany them full time outside. We have a fenced yard, and I would like to reach a point to where I can trust them for some time alone outside to venture.

Discipline:
 I plan on trying a discipline based on inattention for bad behaviors and praise for good ones. The most I would actively do for discipline is separating the dog from the stimulus, and repeating this until they associate the negative behaviors with removal, and lack of negative behaviors with some praise. I understand this will be a long gradual process, but will slowly build up to repetitive good behaviors.
Where would Pembroke spend the majority of the time: I anticipate the Pembroke spending more time inside than outside for the first year until I can establish their comfort level in my yard with another dog. I will accompany them full time outside. We have a fenced yard, and I would like to reach a point to where I can trust them for some time alone outside to venture.

House dog or outside dog?

 House dog

People at home during the day?
 Yes, I work seasonally so over the full fall/winter months I'm at home almost all the time doing freelance work on my computer. I also have 2 adult roommates that have different schedules, so someone is almost always home regardless.

Where would dog eat?
 I would designate a spot indoors in the kitchen for food, and would provide both indoor and outdoor sources for water.

Where would dog sleep:
 Definitely indoors. I don't plan on kenneling, so my initial idea is wherever they find suitable in the house.

Play & exercise:
 I plan on doing at least a 3 mile walk a day early. I also plan on either doing a second walk later in the afternoon, or some higher intensity games in our yard with toys.

How will you exercise your dog?
 On leash

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?
 Corrugated steel chain link with plastic slats, about 6 feet tall. It surrounds almost the entire yard except for the driveway leading in, which will have a gate attached soon.

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?
 Yes, you may 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?
 No

Description of yard:

 The property is about 1 acre including structures (2 garages, and house), half of which being empty land. We have a designated bonfire pit and wood pile, and several cars on the property and the rest is vacant.

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?
 Michael Couillard

Willing to train children?
 Yes, but I do not anticipate having a child at 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?

Are you willing to work on it if your new dog doesn’t get along with your current pets right away?
 Yes. Most of the time the dog will not be interacting with another dog or cat, and I can closely monitor its behaviors toward my landlord's dog while I am accompanying it.

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}