Untitled_2460

Applicant IL
State: {Applicant State:2} Date of Application: 07/03/2019 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:
 1 year – 3 years, 3 years – 5 years
Gender preferred:
 Either a Male or a Female
Color preferred:
 Any color
Activity level:
 Couch Potato, Outgoing, Quiet, Playful, Energetic

Other preferences:
 If possible we'd like a Pembroke that is housebroken. We are able to train him or her.

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 is for our family. We have two young men, Owen (19) and Jack (16). We had a Pembroke, Gus, for 10+ years we lost last summer, 2018. Everyone in our family shares in our pet care, but Owen has historically been the primary caregiver and was heartbroken when we lost Gus. Gus was a loyal friend to Owen, who is on the high-end of the autism spectrum. Owen spent last year away at college but going forward will be at home. We feel being able to add a Pembroke back into our family will make his transition back home complete.

Why do you want a Pembroke?
 A Pembroke Welsh Corgi is the only kind of pet we have owned. We love how bright the bread is, and how they like to "herd" their people together. We have a large yard for exploring and are accustomed to taking our previous dog on at least two walks daily.

Activities planned with Pembroke:
 Our Pembroke will be a regular part of our family. Beyond walks, playing, exploring and relaxing we'll ensure he/she receives the proper veterinary care. When we travel we'll bring our Pembroke with us whenever possible. When it isn't possible he/she will stay with friends who are already experienced pet owners. We didn't do formal training with our previous pet, but we did train him to go potty outside, sit and laydown on command. We are willing to do formal training with a rescue.

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: 		First of all, we'd reinforce good behaviors with praise or healthy treats when appropiate. When he/she misbehaves we would try to catch him/her in the act and give a firm "no" and then work to give a different option. For example if chewing on a shoe, we'd say no, take it away and then give an actual chew toy.

Discipline:
 The methods of discipline will be commands and "time outs". Time outs in that he/she will need to sit in on their cushion or within their unlocked kennel if they have misbehaved.

Where would Pembroke spend the majority of the time:
 At our home, inside and outside.

Discipline:
 The methods of discipline will be commands and "time outs". Time outs in that he/she will need to sit in on their cushion or within their unlocked kennel if they have misbehaved.
Where would Pembroke spend the majority of the time: At our home, inside and outside.

House dog or outside dog?

 House dog

People at home during the day?
 There are people home at different times durning the day. The longest our Pembroke would be alone is 5 hours. It will depend on our son's class schedules.

Where would dog eat?
 Within our laundry room. It is the same place we'd keep his/her kennel.

Where would dog sleep:
 Initally, probably in his/her kennel, which would be in our laundry room. Once they are comfortable we'll let him/her "pick" the best spot for their bed within our living spaces.

Play & exercise:
 The primary ways our Pembroke will play and exercise is in our yard, independly and with us and on walks. At a minimum walks will be 2x daily with playtime as much as we are home, and the weather allows for it outside.

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?
 It is a wooden fence on two sides of our yard. Our backyard is then open across three of our neighbors. All neighbors allow our pets to roam on their yards.

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:

 Ranch style home with a large backyard. Backyard approximately 200 ft deep and fencing on two sides.

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?
 Owen

Willing to train children?
 Yes, our children are older and have already owned a pet.

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?

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}