Untitled_2556

Applicant IL
State: {Applicant State:2} Date of Application: 08/28/2019 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, 3 years – 5 years
Gender preferred:
 Either a Male or a Female
Color preferred:
 Any color
Activity level:
 Couch Potato, Outgoing, Quiet, Playful, Energetic, Very Active

Other preferences:
 Ruby is disabled but can still get around with assistance of a cane. Would like an active dog that also loves to he a lap dog and watch Netflix but also loves to go to the dog park.

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?

 Ruby and my father Anthony I hope to make it Ruby's support animal. Ruby suffered a stroke in summer 2019. Ruby and Anthony had a corgirainan for many years until she crossed the rainbow bridge due to old age. We currently have a corgi, blue heeler and Jack Russell mix and we are looking for a corgi brother or sister for him. He is Anthony's dog. Ruby has loved corgis for years and has always dreamed of having one. After her stroke she feels like a corgi would be the perfect support animal.

Why do you want a Pembroke?
 I love the breed. I love their playful demeanor and how their little butts wiggle when they walk. Recently after becoming disabled after Ruby's stroke she found corgi videos on YouTube and they are one thing that cheer her up no matter what. Also Poppy was a corgi mix and Ted is too so our family has always had a love of corgis since finding out poppy was part corgi and taking her to attend Corgis in the Park a huge corgi event in Grand Rapids Michigan. Ruby instantly became obsessed with the breed.

Activities planned with Pembroke:
 Watch tv, go on walks, go on trips in the car, possibly train to become a service animal or support animal, go to the dog park, play outside and inside, be a couch potato and just chill.

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: 		Tell the dog no and discipline. Correct the behavior.

Discipline:
 Rewarding good behavior with treats. Ignoring bad behavior when can. Water bottle and noise to deter bad behavior.

Where would Pembroke spend the majority of the time:
 With Ruby inside our house. We live in a quite neighborhood in a suburban area with a yard. The house is 2 stories 5 bedroom capcom.

Discipline:
 Rewarding good behavior with treats. Ignoring bad behavior when can. Water bottle and noise to deter bad behavior.
Where would Pembroke spend the majority of the time: With Ruby inside our house. We live in a quite neighborhood in a suburban area with a yard. The house is 2 stories 5 bedroom capcom.

House dog or outside dog?

 House dog

People at home during the day?
 Yes Ruby is always home and Anthony is also home most the day.

Where would dog eat?
 His own eatting area in Ruby's room

Where would dog sleep:
 With Ruby in her bed or a dog bed on the floor of Ruby's bedroom.

Play & exercise:
 Yes, we love to go to the dog park every morning and evening. Ruby also wants a corgi to encourage her to walk after her stroke and to take on walks around the neighborhood.

How will you exercise your dog?
 Both on leash and restrained to the yard

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:

 Large yard partly fenced in. Live in a suburban quiet neighborhood.

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?
 Both Ruby and Anthony

Willing to train children?
 Yes but children rarely come into our home if ever

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 have trained dogs and cats to get along in past

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}