Untitled_4135

Applicant IL
State: {Applicant State:2} Date of Application: 03/05/2022 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:
 Playful, Other (Please describe in the box below.)

Other preferences:
 Must be good with a cat.

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?

 Both of us.

Why do you want a Pembroke?
 A corgi is a smaller dog that is so smart and training will be essential for a Corgi to be part of our home. We understand that the Corgi is a herding breed. We don't have experience with a Corgi. We have owned a collie and two German Shepherd Dogs and understand the need of a herding dog to be active in daily exercise. We have researched the breed and understand that it has become "fashionable" breed to own because of the popularity in Britain. That's is not our intent to bring this breed into our home.

Activities planned with Pembroke:
 Daily walks (morning and evening, weather permitting). Play time both in the house and in the yard. We will take him/her to obedience classes where he/she would be socialized and be trained in a group setting with distractions. We are also looking into agility training.

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: 		It depends on the mistake. There are so many training methods to teach a dog the behavior you want from them. If the dog eliminates in the house, take it out and let them know the proper place to eliminate. Then clean up the mess so the dog doesn't go in the same place again.

Discipline:
 Positive training. No harsh discipline. Let the dog the know what you expect from it. Training is not just on a one-case basis. It's a lifelong mission.

Where would Pembroke spend the majority of the time:
 Run of house with some crate training, if necessary.

Discipline:
 Positive training. No harsh discipline. Let the dog the know what you expect from it. Training is not just on a one-case basis. It's a lifelong mission.
Where would Pembroke spend the majority of the time: Run of house with some crate training, if necessary.

House dog or outside dog?

 House dog

People at home during the day?
 Yes

Where would dog eat?
 We have food and water bowls in our kitchen. Our pets have had regular feeding times, twice a day. Fresh water is provided with each mealtime, more often if needed.

Where would dog sleep:
 Once he/she has been acclimated to our house, he/she would sleep in our bedroom, hopefully in our bed.

Play & exercise:
 Play time would be provided in our yard and in our home. Also, daily walks (both AM and PM) would be part of the daily routine.

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?
 Chain link fence, 4 ft high and about 40X50 ft in area.

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:

 Chain link fence about 40 ft X 50 ft

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?
 Lora Rodriguez

Willing to train children?
 We do not and will not have the opportunity to have children or grandchildren. However, we will be diligent whenever a young child comes into our home.

Any allergies?

 One or more family members might be allergic to dogs.

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. Our cat has lived with over 4 dogs and has his own places to go to get away when he doesn't want to deal with them. We also have baby gates to let him feel safe.

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}