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Applicant IL
State: {Applicant State:2} Date of Application: 10/12/2019 Referred by: Website, Breeder, Other
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:
 There are stairs in my home, I’m happy to carry my pup anywhere he/she would like to go but I’d also want them to have free reign of the house comfortably

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?
 I’ve adored this breed my whole life and have dreamed of getting one of my own for years. I’ve have friends and family who’ve previously own a corgi. They are playful, smart, and loving. Even though they’re absolutely my first choice in dog breed, it’s also important to me to give a dog in need a home before shopping for a new puppy from a breeder which is why I’d like to rescue.

Activities planned with Pembroke:
 There’s a private park across the street from my home and a dog park only a few blocks away. My office is dog friendly, and there are a number of dog friendly restaurants and patios close to me. I am actively outside daily on either a walk or run and I enjoy the many parks and outdoor spaces Minneapolis has to offer.

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: 		I’d address the mistake by letting the dog know it was wrong with verbal cues like “no” and my own facial expression. If it is a habitual mistake we would learn to phase it out, if it was an accident then we’ll clean up and move on, those things happen.

Discipline:
 Reinforcement of positive behavior comes first to begin early and stay consistent with positive behavior. If a mistake happens I’d do myself to either catch the dog as it happens or address the concern immediately after and never wait for any period of time to ensure there is no confusion for the dog. To discipline I’d address the dog’s health first and if everything is okay and it’s just a mistake, I prefer to redirect the behavior to something positive after a verbal cue like “no”

Where would Pembroke spend the majority of the time:
 With me at our home or in my office.

Discipline:
 Reinforcement of positive behavior comes first to begin early and stay consistent with positive behavior. If a mistake happens I’d do myself to either catch the dog as it happens or address the concern immediately after and never wait for any period of time to ensure there is no confusion for the dog. To discipline I’d address the dog’s health first and if everything is okay and it’s just a mistake, I prefer to redirect the behavior to something positive after a verbal cue like “no”
Where would Pembroke spend the majority of the time: With me at our home or in my office.

House dog or outside dog?

 House dog

People at home during the day?
 Not typically, though I live very close to work and am periodically home for short periods of time

Where would dog eat?
 There would be a designated spot for food and water in the kitchen

Where would dog sleep:
 Where they feel most comfortable, furniture is welcomed, my bed is welcome, I’d have a dog bed in common spaces of the house as well.

Play & exercise:
 I take a daily run that my dog would come with on and I’d take him/her for a walk in the evening as well for a second outing. I’d provide lots of interactive toys, train him/her with skills and tricks, socialize with other dogs (behavior and temperament allowing) and spend lots of time playing one on one.

How will you exercise your dog?
 On leash

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:

 I live in a brownstone. I don’t have a private yard but there is private park owned by my complex right outside my front door as well as a patio out the back. The park is all grass with enough space for my dog to run and play. The area is fenced in, pets are allowed, and is safe.

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?
 Drea Rabuse

Willing to train children?
 I have no children, though nieces and nephews are already accustomed to pets and proper care and behavior

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?
 I have 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}