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Applicant IL
State: {Applicant State:2} Date of Application: 09/03/2019 Referred by: Veterinarian
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
Gender preferred:
 Either a Male or a Female
Color preferred:
 Any color
Activity level:
 Couch Potato, Outgoing, Quiet, Playful

Other preferences:
 We have stairs. Good with travel. Good with kids from age 3 on. Good with cats and dogs. We travel to Indy to visit my fiance's parent often and they have a larger Lab and a cat.

Previous dog owner?
 No
 
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?
 Due to living in a smaller house, we are looking for a small dog but need a big personality! I have many friends who have corgis and have a ton of fun playing with them when I visit. They truly are a big dog in a small package.

The big trait of the corgi that sticks out to me is the small legs (which I'm short at 5'3" so I can keep up with a small dog) and big butt. I am a "Butt Muncher". I love to give butt scratches, mostly because I love to see tails wag. While corgis don't have much of a tail, they still wiggle their behind, which is even cuter!

I understand that due to their elongated body, corgis can suffer from a multitude of back issues like Degenerative Myelopathy (genetic), various Disk Diseases (weight and activity controlled) and hip displaysia (can be weight controlled). But, I do know that they can also suffer from Retinal Atrophy, of which there is no cure for. (This is what my cat experienced)


Activities planned with Pembroke:
 Well of course walks! Lots of walks! We have a big back yard to play in but exercise is key to maintaining proper weight. (not only for a dog but for me as well) And, what dog doesn't love a kiddy pool on a hot summer day? We also travel from my home to my fiance's parent's home in Indy quite often so having a travel buddy would be fun. And, of course your typical fetch, teach tricks, and overall provide lots of lovin's!

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?

 No

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: 		Use it as a teaching moment. First teach that the mistake was a mistake with firm words. Then teach the proper action with positive reinforcement.

Then clean up the mess and laugh about it.


Discipline:
 Positive reinforcement with a firm, even tone. Clicker training. Being aware of what the dog is doing to stop negative activity before it occurs and enforce positive behavior. (a dog is a toddler after all)

Where would Pembroke spend the majority of the time:
 with the family! I'm not one for crates, while they have their purpose, I'm am an advocate that a pet is a family member and should be treated as such. So the dog will be allowed in every room (including the bathroom while I'm in there). I also not opposed to the dog sleeping with us in our big bed. When no one is home, then the crate may be used but I will more than likely quarantine to a specific room over enforcing the use of the crate.

Discipline:
 Positive reinforcement with a firm, even tone. Clicker training. Being aware of what the dog is doing to stop negative activity before it occurs and enforce positive behavior. (a dog is a toddler after all)
Where would Pembroke spend the majority of the time: with the family! I'm not one for crates, while they have their purpose, I'm am an advocate that a pet is a family member and should be treated as such. So the dog will be allowed in every room (including the bathroom while I'm in there). I also not opposed to the dog sleeping with us in our big bed. When no one is home, then the crate may be used but I will more than likely quarantine to a specific room over enforcing the use of the crate.

House dog or outside dog?

 House dog

People at home during the day?
 Yes, except weekends. We may spend up to 8 hours out of the house. (the 8 hours time is very rare. The most really is 4-5 hours)

Where would dog eat?
 Int he kitchen where the pet food was with prior pets.

Where would dog sleep:
 While a crate will be available, the corgi is welcome in the rooms. We will provide a bed to sleep on in every room and will allow sleeping in bed with us.

Play & exercise:
 We have a large yard and we will allow as much "fun time" as the corgi wishes to have. I am mobile in my job so I can work from inside or outside on the back deck. The corgi will get a walk at minimum once a day and of course play is encouraged inside when it is hot out.

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:
 Live in Mom’s while she is in Texas taking care of parents. Once they pass, I will be getting a house.

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:

 Yard is a big connecting yard with the neighbors currently. The neighbors have all had dogs at one point and we have always shared the yards. One neighbor currently has 2 dogs. If needed we would put up a small fence to help "restrain" a corgi. Our yard has a big maple in the center that offers a ton of shade and a big deck. We have a shed in the back of the yard and 2 rose bushes next to it. We also have a Twisted Filbert in front of the shed.

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?
 Jennifer

Willing to train children?
 Yes, if I have kids.

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}