Untitled_2477

State: {Applicant State:2} Date of Application: 07/12/2019 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, 5 years – 10 years
Gender preferred:
Either a Male or a Female
Color preferred:
Any color
Activity level:
Couch Potato, Quiet, Playful

Other preferences:
Gets along with other dogs.

Since you only have space for one vet, I entered my primary care vet in that section, but want you to have details on specialty vets I regularly use.

Veterinary Specialty Center – 1515 Busch Parkway, Buffalo Grove, IL 847-459-7535 – Cooper has seen Dr. Karen Kuhl, the dermatologist here for a zinc deficiency. Rico saw Dr. Belinda Comito for back surgery due to IVDD.

Companion Animal Specialty & Emergency Hospital – 1095 Pingree Road, Suite 1200, Crystal Lake, IL 815-479-9119 – Dr. Karen Kuhl also holds appointments at this facility so Cooper has seen her here as it is closer to home for dermatology. Rico has seen Dr Karen Turner for post op rehabilitation – he did water treadmill therapy and currently goes for laser therapy once a month to assist with degeneration in his discs.


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?
I have previously had two Corgi mixes. I am in love with their attitudes, activities when herding and their affection. I do not have children nor do I have children that visit my home – I know Corgi's don't generally get along with children. I understand the breed's instinct is to herd – one of my previous dogs would herd her toys from room to room until she was tuckered out.

Activities planned with Pembroke:
My dogs are my children and go where I go when possible. We enjoy road trips, walks, trips to the local farmers market and dog park. We also enjoy hanging around outside or on the screened porch, weather and/or bugs permitting. We go to various dog events locally. Finally we also enjoy down time snuggling on the couch.

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:
Depends on the mistake. In most cases speaking to a dog allows them to know they've done wrong. Then redirecting them to the correct behavior and reinforcing with praise.

Discipline:
Verbally scolding, possible crate time-out.


Where would Pembroke spend the majority of the time:
While I'm at work, they would be crated. I feel crating is the safest way for me to know when I'm not their they are not getting into mischief they shouldn't or agitating their siblings.

Discipline:
Verbally scolding, possible crate time-out.
Where would Pembroke spend the majority of the time: While I'm at work, they would be crated. I feel crating is the safest way for me to know when I'm not their they are not getting into mischief they shouldn't or agitating their siblings.

House dog or outside dog?

House dog

People at home during the day?
I am home most weekends. During the week I work and there's not anyone home.

Where would dog eat?
In their crate – this avoids issues with food aggression and allows them to eat at their own pace.

Where would dog sleep:
My bedroom is on the second floor. The dogs I currently have do not go upstairs with me. Rico had back surgery 2 years ago and stairs are off limits to him. Cooper has arthritis in his front legs and for his safety, he is not allowed to the second floor.

With this said, most likely they would sleep in their crate. I feel this keeps them all on level playing fields and doesn't show favoritism that could affect their interaction with each other.


Play & exercise:
dog park, walks, toys
most of my evenings and weekends are spent with my dogs

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?
Not applicable

Breed/size restrictions?
No

Description of yard:

My yard is not fenced. I have quite a few mature trees and some flowerbeds. 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?
Kelly Gorham

Willing to train children?
I don't have children,

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! One thing I would like to do before adopting is to have a meet & greet to ensure my dogs get along with the new dog. If the initial visit proves positive, but we end up having issues after, I would work with both dogs to ensure harmony. If I'm not able to correct on my own, I would seek outside help with this.

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}