Untitled_2361

Applicant IL
State: {Applicant State:2} Date of Application: 04/29/2019 Referred by: Other
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, 3 years – 5 years
Gender preferred:
 Either a Male or a Female
Color preferred:
 Any color
Activity level:
 Other (Please describe in the box below.)

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?

 Myself.

Why do you want a Pembroke?
 Nothing can replace my first corgi but she did bring me so much happiness. I would love to offer the love I have to another corgi that needs it.

Activities planned with Pembroke:
 There is a park right across the street from me, I can go for walks around the neighborhood, I have taken my other dogs to dog parks around the Indianapolis area, if the dog does well in the car we can go for various other adventures around the city.

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: 		The first time my corgi makes a mistake I would not pay much attention to it. Even I make mistakes sometimes. However if it became a pattern of behavior then I would take the necessary course of action to correct the mistake while it is still an early learned behavior.

Discipline:
 I would only discipline if I were to catch the dog in the act. Trying to punish a dog for something they did after the fact is not a very effective way to try and discipline them. I would use my voice to try and stop the unwanted behavior. I would take away any toys they have and avoid giving them any attention while they are misbehaving.

Where would Pembroke spend the majority of the time:
 Inside the house. No part of the house would be off limits when I am home or when I am gone. It is just as much as much their house as it is mine.

Discipline:
 I would only discipline if I were to catch the dog in the act. Trying to punish a dog for something they did after the fact is not a very effective way to try and discipline them. I would use my voice to try and stop the unwanted behavior. I would take away any toys they have and avoid giving them any attention while they are misbehaving.
Where would Pembroke spend the majority of the time: Inside the house. No part of the house would be off limits when I am home or when I am gone. It is just as much as much their house as it is mine.

House dog or outside dog?

 House dog

People at home during the day?
 I work 8am-4pm. However the person I live with works 2pm-11pm. That would leave only 2 hours a day where the dog is left unattended. My partner does not work on Friday's either so he would be available to stay home with the dog. If there was a day where he had to go in early or I had to stay late I could look into a doggy daycare near my house or work to keep him/her entertained while I am gone.

Where would dog eat?
 In the kitchen, with me ?

Where would dog sleep:
 Hopefully with me. However, the house would be his/hers so they could choose to sleep wherever they want to sleep.

Play & exercise:
 I will take the corgi for a walk before work, ask my partner to take them for one before they go to work, and play with the dog outside when I get home from work. On the weekends I would have additional opportunities to take the dog around the city or go to any dog parks.

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

Breed/size restrictions?
 No

Description of yard:

 We have a large open yard that is not fenced. No pools.

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?
 Kellie

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?
 If I add additional pets to the family then I will make sure I take the appropriate steps try and create a positive environment. I had to be very patient to get him to agree to one dog so I don't see multiple in our future until we at least get a larger home. If we did add additional dogs and I could not get them to behave on their own I would seek professional assistance.

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}