Untitled_2516

Applicant IL
State: {Applicant State:2} Date of Application: 08/05/2019 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:
 Either a Male or a Female
Color preferred:
 Any color
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?

 Chelsey Turinske and Jeff Howland

Why do you want a Pembroke?
 Last fall (2018), we adopted a 12 yr old Corgi from the Washington County Humane Society named Misty. She passed away suddenly last month, which greatly surprised and saddened us; the vet said it was most likely a blood clot or heart attack. We want to adopt another Corgi since we loved the breed and would love to have another one in our family. We love the size, energy, personality and intelligence of the Corgi breed.

Activities planned with Pembroke:
 We took our Corgi, Misty, on daily walks, which mainly consisted of nature walks. We also took her camping, canoeing, fishing and swimming. We played with her daily with various toys; we tried to teach her fetch, but she wasn't interested.

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: 		When our previous Corgi would make a mistake, we would leash her and remove her from the situation if unable to correct her in the act.

Discipline:
 We use redirection and reinforcing positive behaviors when training and disciplining a dog.

Where would Pembroke spend the majority of the time:
 While we are at the work, the Corgi would spend most of their time in the house otherwise when we are home/not at work, we spend most of our time outdoors.

Discipline:
 We use redirection and reinforcing positive behaviors when training and disciplining a dog.
Where would Pembroke spend the majority of the time: While we are at the work, the Corgi would spend most of their time in the house otherwise when we are home/not at work, we spend most of our time outdoors.

House dog or outside dog?

 House dog

People at home during the day?
 Depends on the day of the week.

Where would dog eat?
 Out of their own food dish in the kitchen.

Where would dog sleep:
 Our previous Corgi, would either sleep in her bed on the floor next to our bed in the main bedroom or on one of the chairs/couches in the living room.

Play & exercise:
 We took our previous Corgi for daily walks that added up to from 30-60 min/day. We have a fenced in backyard, so she would follow us around the yard and chase after squirrels. Also played with toys and try to teach how to play fetch; our previous Corgi wasn't interested in playing fetch even though we tried to teach her.

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 privacy fence made of wood that stands about 6-7ft tall with very minimum gap in-between posts.

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:

 Front yard is open with 2 patches of grass divided by side-walk/walk-way with 1 tree. Back yard is enclosed by a wooden privacy fence. Back yard has a small concrete patio, but is 7/8 grass with a few trees.

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?
 Chelsey Turinske

Willing to train children?
 We currently do not have any children, but would be willing to teach future children how to humanely care for animals.

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, we are willing to try to resolve a problem if our newly adopted Corgi doesn't get along with any other pets we may add in the future.

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}