Untitled_2350

Applicant IL
State: {Applicant State:2} Date of Application: 04/20/2019 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:
 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:
 Red & White, Red Headed Tri, Sable & White
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?

 This Pembroke is for Erica and Colin

Why do you want a Pembroke?
 I want a Pembroke because I have loved this breed since I was a child. My dad and step mom used to breed Germen Sheperads and do agility training. I remember the first time I saw a Pembroke was at an agility course. I instantly loved their high energy that was also very sweet and lovable. I love that they are really smart and I am excited to be play and engage with this pup.

Activities planned with Pembroke:
 I am a runner, so I would love to be able to run and stay active with the pup. Also, I live near a lot of dog parks so I am looking for a pup I can take to dog parks. I also camp and hike, so being able to take pups on these activities would be ideal.

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: 		I currently walk dogs on Rover and get up around my parents training dogs. How I currently handle training is through positive and patient reinforcement. I use treats and praise to correct behaviors that I want to change.

Discipline:
 I use positive reinforcement. For example, when leash training I bring treats and will stop walking when the dog is pulling and wait for them to notice me. Once they do I praise and call them. I continue to do this diligently until they are more focused on me during a walk then anything else.

Where would Pembroke spend the majority of the time:
 They would spend their weekdays during working hours at home, and then after and before work they would get walks an dog park visits. On the weekends, they spend their time going to dog parks and hiking trips.

Discipline:
 I use positive reinforcement. For example, when leash training I bring treats and will stop walking when the dog is pulling and wait for them to notice me. Once they do I praise and call them. I continue to do this diligently until they are more focused on me during a walk then anything else.
Where would Pembroke spend the majority of the time: They would spend their weekdays during working hours at home, and then after and before work they would get walks an dog park visits. On the weekends, they spend their time going to dog parks and hiking trips.

House dog or outside dog?

 House dog

People at home during the day?
 Colin works from home a few times a week, but when we are both working the Corgi would be home alone with our cat.

Where would dog eat?
 At home.

Where would dog sleep:
 At our home.

Play & exercise:
 They will get daily exercise with runs and walks. They would also get dog park visits.

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:
 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:

 N/A

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?
 Colin and Erica

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?

 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}