Untitled_2606

Applicant IL
State: {Applicant State:2} Date of Application: 10/08/2019 Referred by: Friend
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)
Gender preferred:
 Either a Male or a Female
Color preferred:
 Red & White
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?

 This Pembroke is for my father whom loves dogs.

Why do you want a Pembroke?
 I want to adopt a Pembroke because I have owned this breed in the past and really enjoyed how friendly and sweet they can be. Recently our Boston Terrier, Roxie, pasted away and she helped my father through his hard times with back surgeries and always kept his feet warm. I would like to adopt a Corgi to comfort my father and keep him strong with a best friend. He has had a hard time without his Roxie and I know a Buddy (that is going to be the Corgi's name) will be that best friend. I have done extensive research on the breed and can provide a loving home for him/her.

Activities planned with Pembroke:
 We have a park within a mile and my father must walk to the park and back to help with recovery from the back surgery and his best friend Roxie used to go with and I know Buddy would be great to help with that too. Would also enjoy relaxing on the couch or bed, playing with toys in the living room, and hanging outside in the backyard with my dad by the pool.

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: 		Ignore the mistake. Positive encouragement for a good behavior and ignore the bad behavior. This will ensure the puppy is encouraged for positive things and will reduce or eliminate negative behaviors as it grows.

Discipline:
 Ignore negative behaviors and encourage positive behaviors.

Where would Pembroke spend the majority of the time:
 In the house and backyard.

Discipline:
 Ignore negative behaviors and encourage positive behaviors.
Where would Pembroke spend the majority of the time: In the house and backyard.

House dog or outside dog?

 House dog

People at home during the day?
 Yes, my father works from home.

Where would dog eat?
 In the kitchen.

Where would dog sleep:
 In his/her bed in my father's room.

Play & exercise:
 He/She will go to the park twice a day with my dad and play. I would say this will average around 1 hr total time a day to/from park and at the park, then around 1 hr total of in the backyard to play time.

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?
 6 ft wooden fence.

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:

 Above ground swimming pool and grass all around it. Seating area with concrete with in ground plants all the sides.

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 Johnopolos

Willing to train children?
 YES

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?
 No other pets

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}