Untitled_4081

Applicant IL
State: {Applicant State:2} Date of Application: 12/23/2021 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
Gender preferred:
 Either a Male or a Female
Color preferred:
 Any color
Activity level:
 Outgoing, Playful, Energetic

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?

 Family dog.

Why do you want a Pembroke?
 We need a smaller yet active dog that is confident and outgoing. We want a dog that is good with a family. My youngest child is 9 and they don’t run around lien they used to so I don’t think they would be at risk for being herded by a corgi. We believe that our first dog was part corgi and her loyal loving spirit made her a beloved pet.

Activities planned with Pembroke:
 Walking, playing fetch, my oldest has been training our current dog in Treiball so I’m sure any new dog would be included in this, she has also been working on basic agility with hurdles and hoops, a new dog in our family would spend time playing with our dog. We would also like a dog that likes to snuggle on the couch with us.

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’m not sure what is meant by mistake. Our current rescue has struggled with house training. We kept him on a leash in the house for awhile and tried rushing him outside if we saw him getting ready to relieve himself. We praised when he peed or pooped outside. Took him out frequently and keep him in a crate when we are not home. He has greatly improved. He often tries to chew things up. We keep doors closed to rooms we aren’t in so he has less opportunity to be unsupervised, provide lots of chew toys, take him for walks, play with him and provide training. He bit our pet sitter because he is somewhat fearful of people especially when we were not home. We have engaged a dog behaviorist and consulted with our vet as well as worked with our pet sitters to resolve his fear.

Discipline:
 Primarily as far as discipline we use removal. For example if my dog is mouthing me I simply remove myself from him for a short time so that he knows that behavior does not get attention.

Where would Pembroke spend the majority of the time:
 In the house with the family. While we are gone the dog would be crated. I work part time about 20 hours per week. There is almost always someone home from about 3 on. We bring our dog with us when traveling whenever possible.

Discipline:
 Primarily as far as discipline we use removal. For example if my dog is mouthing me I simply remove myself from him for a short time so that he knows that behavior does not get attention.
Where would Pembroke spend the majority of the time: In the house with the family. While we are gone the dog would be crated. I work part time about 20 hours per week. There is almost always someone home from about 3 on. We bring our dog with us when traveling whenever possible.

House dog or outside dog?

 House dog

People at home during the day?
 4 days a week there is someone home during the day.

Where would dog eat?
 In the kitchen. We would plan to feed our dogs separately. Either using a baby gate or feeding one in the kitchen and one in another room.

Where would dog sleep:
 Most likely with one of my daughters.

Play & exercise:
 Our current dog takes 1-2 longer walks per day approximately a mile. If it is a day I’m home the long walk could be 3-4 miles. A new dog would play with our current dog. We recently fostered a dog and both dogs were worn out by the end of the day.

How will you exercise your dog?
 On leash

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:

 We live near a forest preserve. We do not have a fenced yard as our property is on a steep hill down towards an open flood plane. Our dog goes out on a leash with us for short potty breaks in between longer walks.

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?
 Liz

Willing to train children?
 Yes

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?

 No, some of our current pets are not friendly toward dogs

Are you willing to work on it if your new dog doesn’t get along with your current pets right away?
 I answered no to the above only because these pets do not and will not interact with our dogs. Our Guinea pig is the only concern. We love corgis but understand they have a prey drive. We have our Guinea pig cage up in a table. However, because we do have this Guinea pig we would only be interested in smaller corgis. One at the top of the size range might not work for us.

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}