Untitled_4063

Applicant IL
State: {Applicant State:2} Date of Application: 12/08/2021 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:
 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?

 My husband and I, after losing our beloved 13yo corgi this past May.

Why do you want a Pembroke?
 As mentioned, we had a corgi from a puppy to 13, she was our first dog and just incredible. We want another corgi specifically because they are intelligent, playful, a mid level energy level, adaptable, , smaller size but not teeny tiny. Corgis feel like the perfect dog for us.

Activities planned with Pembroke:
 Training excersizes and puzzles to excersize their mind, long walks and hikes in nicer weather, tromps through the snow, lots of toy time in the home, socializing w other pet owners. We are committed to assuring our new pup is happy and healthy in both body and mind.

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: 		Stay calm and communicate clearly to the dog; course correct with more positive training if it’s something that needs to change long-term. If it’s a one-time oops…no big deal.

Discipline:
 Positive reinforcement with clear commands. Training from day one for both the dog and us! It’s a bond we’ll share and work on together.

Where would Pembroke spend the majority of the time:
 In our home. My husband works from home most days so the dog would not be left alone aside from a few hours here and there. We like to stay active so lots of playtime outside the home too.

Discipline:
 Positive reinforcement with clear commands. Training from day one for both the dog and us! It’s a bond we’ll share and work on together.
Where would Pembroke spend the majority of the time: In our home. My husband works from home most days so the dog would not be left alone aside from a few hours here and there. We like to stay active so lots of playtime outside the home too.

House dog or outside dog?

 House dog

People at home during the day?
 Yes! See above. My husband works from home.

Where would dog eat?
 We’d set up bowls in the kitchen.

Where would dog sleep:
 In their own bed in our bedroom where it’s quiet. We usually have two beds, one in the living room, should the dog want to sleep there. We like to offer dedicated dog spots rather than human spots for sleeping.

Play & exercise:
 Multiple times a day- good long walks multiple times a day, park time at the park 2 blocks away, beach trips only 4 blocks away, we also love hiking when the weather is nice. Inside the home we like to offer puzzle/interactive toys, training time, and general fun time that’s less impact play 🙂

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?
 We live in a small condo building with a fenced in courtyard. It’s rarely used except by us! We always used to bring our previous dog out there for supervised off-leash play. (We’d never leave a dog out there unattended)

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

Breed/size restrictions?
 No

Description of yard:

 We have a shared fenced in yard. A portion of the ground is grass and a portion is concrete. It’s L shaped with all on two sides, and a chain link fence and back gate/door on the other two. It’s basic but nice and quiet! The back gate door leads to the alleyway.

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?
 Both my husband and I

Willing to train children?
 We have no children, but of course for others yes- we will be patient with both children and dog, and not let kids torture the dog either by letting them grab or hang all over our pets

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?
 We have encountered this problem before and we’re able to overcome issues that presented while keeping all pets happy and healthy.

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}