Untitled_2604

Applicant IL
State: {Applicant State:2} Date of Application: 10/06/2019 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:
 3 years – 5 years, 5 years – 10 years
Gender preferred:
 Either a Male or a Female
Color preferred:
 Any color
Activity level:
 Couch Potato, Outgoing, Quiet, Playful

Other preferences:
 Must be cat friendly

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?

 Both of us

Why do you want a Pembroke?
 We have friends with corgis and have fostered a mix, and love their quirky and silly personality. Having done additional research, we feel that the mix of activity such as playing outside and snuggling on the couch inside is a good balance for what we can provide.

Activities planned with Pembroke:
 Walks, visiting family, going to the dog park and meetups, spending time together when we work on projects at home or in our yard.

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: 		Positive reinforcement, rewarding behaviors that he or she should be doing, repetition, random positive reinforcement with treats

Discipline:
 Verbally ("no"), redirect, repeat instructions, use tools if needed (bitter spray for chewing, etc)

Where would Pembroke spend the majority of the time:
 The main level of our house, or outside on a leash if we're walking, or long lead if we're gardening and spending time outdoors together

Discipline:
 Verbally ("no"), redirect, repeat instructions, use tools if needed (bitter spray for chewing, etc)
Where would Pembroke spend the majority of the time: The main level of our house, or outside on a leash if we're walking, or long lead if we're gardening and spending time outdoors together

House dog or outside dog?

 House dog

People at home during the day?
 I work 4 days a week and am off 3. My husband has an hour break during his 5 days of work so the dog will never be alone more than 4 hours.

Where would dog eat?
 We would continue with the food the rescue recommends unless there are later changes from our vet

Where would dog sleep:
 Main floor of our house

Play & exercise:
 We both exercise inside our house and outside by at least going on daily walks, and plan to incorporate a future dog in to our exercise.

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 quarter acre of property and our trees/landscaping make it difficult to install a fence. We usually tie a long lead so past dogs can spend time with us and play while we are gardening or working on projects outside. The house is near a busy street and we would never leave a dog to play unattended.

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

Willing to train children?
 We do not have children or small children in our immediate family, but will keep our dog safe from children coming on strongly that want to pet them.

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?
 We are willing to train if there is confusion or not knowing how to treat the cats, but need to prevent adopting a dog that would be aggressive toward the cats or hurt them. This is their home.

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}