Untitled_2297

Applicant IL
State: {Applicant State:2} Date of Application: 03/20/2019 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:
 Any age
Gender preferred:
 Male
Color preferred:
 Any color
Activity level:
 Couch Potato, Outgoing, Quiet, Playful, Energetic, Very Active

Other preferences:
 I have 2 young cats 7 and 9 months old. I adopted the first one as a playmate for my Corgi, After my Corgi passed I rescued another one for company for the first one. They also provided great comfort to me. Over the last 3 months my mother and my husband also passed away.

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?

 Myself. I lost my 10 year old Pembroke this past December due to cardiac issues.
I think I'm ready to adopt now

Why do you want a Pembroke?
 I do love the breed, I had a Pembroke for 10 years, raised him from a puppy. Brought him home from a breeder in Champagne IL. His name was Ein, a wonderful dog. Could be very strong willed, but was exceptionally smart, The smartest dog I've had. I have owned a Golden Retriever in the past and a Labrador Retriever, the Corgi was very teachable, loved playing fetch and with balls. I really bonded with him.

Activities planned with Pembroke:
 Walking, playing fetch with sticks and balls, letting him play with big beach balls, so much fun. Agility classes are available not too far away from me.

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: 		A firm "No"showing the dog the problem, not waiting until hours later, taking care of it right away. Using startle techniques to change behaviors, shaking pennies in a can to startle away from the bad behavior. Try to redirect the energy.

Discipline:
 A firm 'No", Making eye contact. Making sure he is listening. Showing him the right place to potty, Redirecting the behavior

Where would Pembroke spend the majority of the time:
 I do work during the day. I do believe in crate training, After I can trust him not to destroy things I will let him have the run of the house, If he is an adult. I do have someone who can come in during the day to take out a younger dog if needed.

Discipline:
 A firm 'No", Making eye contact. Making sure he is listening. Showing him the right place to potty, Redirecting the behavior
Where would Pembroke spend the majority of the time: I do work during the day. I do believe in crate training, After I can trust him not to destroy things I will let him have the run of the house, If he is an adult. I do have someone who can come in during the day to take out a younger dog if needed.

House dog or outside dog?

 House dog

People at home during the day?
 No

Where would dog eat?
 In the kitchen

Where would dog sleep:
 In a dog bed, My bed is too high, I wouldn't want any injuries.

Play & exercise:
 I get home around 4pm, usually lots of time to play and exercise. I am off on weekends

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:
 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:

 I have a deck with stairs to the yard, no fixtures, is open space

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?
 myself

Willing to train children?
 Have grandchildren, they have pets and were very good with my previous Corgi

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

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}