Untitled_4041

Applicant IL
State: {Applicant State:2} Date of Application: 11/22/2021 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
Gender preferred:
 Either a Male or a Female
Color preferred:
 Any color
Activity level:
 Couch Potato, Outgoing, Quiet, Playful, Energetic, Very Active

Other preferences:

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?

 Alec and Madeline

Why do you want a Pembroke?
 I have owned a corgi mix in the past. We love the breed and understand they are herding dogs and have a lot of energy. I have experience fostering multiple dogs and adopting from a rescue. We have done a lot of research over the years and understand this breed is not for people who just want a cute dog with a wiggly butt, and are fully prepared to be corgi owners.

Activities planned with Pembroke:
 Play with toys, cuddle, daily walks, unleashed dog park, introduce to our friends and family pets as play dates.

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: 		We are firm believers in positive reinforcement. That is how we plan do for our training. Training a dog is much like working with a child. Patience and understanding is important. We will NEVER resort to any sort of violence. If it is a potty related issue, immediately take them outside to where they should be going. Using command words as well as hand signals for training.

Discipline:
 Separation from the situation or animal. Crate training. Commands, no pull harnesses for walking. Obedience classes

Where would Pembroke spend the majority of the time:
 Free reign of our home once potty trained. Crate training or baby gates in safe area as well

Discipline:
 Separation from the situation or animal. Crate training. Commands, no pull harnesses for walking. Obedience classes
Where would Pembroke spend the majority of the time: Free reign of our home once potty trained. Crate training or baby gates in safe area as well

House dog or outside dog?

 House dog

People at home during the day?
 1 or 2 depending on Alec’s work schedule. Madeline works from home

Where would dog eat?
 We will set up food and water dish station in an open space in our kitchen

Where would dog sleep:
 Once potty trained, wherever the corgi would feel most comfortable, whether it be in our bed, their bed, couch, crate etc.

Play & exercise:
 Plenty of toys(I love to spoil) walks around the neighborhood and town. Also large dog park in town. We do have an open concept kitchen and living area great for play time

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:
 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?
 No, the condo covenants do not prevent me from having a dog.

Breed/size restrictions?
 No

Description of yard:

 None

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?
 Madeline Vildberg and Alec Popp

Willing to train children?
 I have a background in child education and I believe it is the same as teaching them how to play with their friends “gentle touches” tell them that dogs can be scared. It is not “cute” when kids jump on or mistreat dogs.

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 with any animal in the future

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, [email protected], friend.:87}