Untitled_2566

State: {Applicant State:2} Date of Application: 09/07/2019 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:
Outgoing, Quiet, Playful, Energetic, Very Active

Other preferences:
Does well in a home with an adult male cat (10 years old).

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?

For both Paul & Joy Chen, living in a home owned by them.

Why do you want a Pembroke?
We love the Queen's Corgi's! Joy has extensive dog sitting for a friend's Pembroke Welsh Corgi (Jenny) for over 10 years. Paul's sister has owned 2 Pembroke Welsh Corgi's, a male (Mikey – Deceased) and a female (Belle – currently 11 years old). Our experience with both of Paul's sister's Corgi's were very positive and loving. Paul owned a pure bred Long Haired Dachsund (Male – Phred) for 15 years before his passing in 2005. Small dog care experience is very high with both Paul & Joy.

Activities planned with Pembroke:
We live in an active new subdivision (3+ years old) which has many paths and greenspace. We live in fact around the largest green space in the neighborhood (our backyard is adjacent to it) where other dogs (leashed) can play. Paul & Joy are very active taking daily walks around the neighborhood and avid Travel Trailer Campers during the summer months (6-8 trips mostly in-state). We would love to introduce our new Pembroke to camping and light hiking.

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:
We believe in using Positive Reinforcment for when the dog obeys effectively and to encourage good behavior. Using rewards (ie. extra praise, treats and toys.) is a big part of this. For mistakes, we would withold treats, toys and/or move the dog to another part of the house or put it in a crate for a "time-out".

Discipline:
Like mentioned above, for mistakes, we would discipline negative behavior by witholding treats, toys and/or move the dog to another part of the house or put it in a crate for a "time-out".


Where would Pembroke spend the majority of the time:
The Corgi would spend most of his/her time in our loving home. Joy works 12 hour shifts (3 days per week) while Paul works 8-9 hours per day (5 days per week). When we are not home, the Corgi would be crated.

Discipline:
Like mentioned above, for mistakes, we would discipline negative behavior by witholding treats, toys and/or move the dog to another part of the house or put it in a crate for a "time-out".
Where would Pembroke spend the majority of the time: The Corgi would spend most of his/her time in our loving home. Joy works 12 hour shifts (3 days per week) while Paul works 8-9 hours per day (5 days per week). When we are not home, the Corgi would be crated.

House dog or outside dog?

House dog

People at home during the day?
Yes on certain days of the week. Joy has days off during the week (depending upon her RN schedule). Paul can work from home on occasion. During any of these times, the Pembroke would be free to roam within the house.

Where would dog eat?
Near the mud room and kitchen, would be the corgi's water and food bowls.

Where would dog sleep:
Probably in the master bedroom with Paul & Joy. A pet bed would be provided. If the corgi wants to sleep on the main bed, then accomodations would be made to provide this (ie. a small step near the bed so the dog wouldn't have to jump high).

Play & exercise:
Daily play and exercise would be encouraged. We live near a paved walking path that we use daily.

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:

We have a large stamped concrete patio in the back yard. We are one of several homes that are in an oval shape surrounding a very large public green space (3+ acres) with paved walking trails and green grass. We don't own a swimming pool, but the neighborhood has one that's completely fenced in. Dogs are not allowed in the pool area. All dogs are required to have leashes when using the green space and/or walking trails OR contained in a fenced-in or "invisible" fenced-in area

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?
Paul Chen

Willing to train children?
N/A

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 we are willing to try a temporary period (ie. 2-4 weeks) to successfully introduce the two animals and see how they interact well together.

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}