Untitled_2681

Applicant IL
State: {Applicant State:2} Date of Application: 11/21/2019 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
Gender preferred:
 Either a Male or a Female
Color preferred:
 Any color
Activity level:
 Outgoing, Playful

Other preferences:
 We have 2 cats & they are used to dogs. They are not so used to being chased though, so a corgi that has been exposed to cats would be best.

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?

 The Pembroke is for me. My husband & I recently moved to Champaign for his work at the Univ of Illinois. We have 2 sons, 16 & 9.

Why do you want a Pembroke?
 I live their energy & alertness. I have a neighbor who has one. I have researched the breed & feel that we would work well with their temperment & intelligence.

Activities planned with Pembroke:
 Walks, ball tossing, errands. We now gave a big beautiful lawn. Our younger son loves to play with our neighbor’s corgi & two black labs.

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: 		Stop what we’re doing, say no, and move him away from what s/he was doing. Distract & redirect if it was a small thing.

Discipline:
 Rewards— Consistently working with dog on a regular basis. Tone of voice. Time outs for big things, ignoring & distracting for small things, rewards for following direction.

Where would Pembroke spend the majority of the time:
 At home, with me.

Discipline:
 Rewards— Consistently working with dog on a regular basis. Tone of voice. Time outs for big things, ignoring & distracting for small things, rewards for following direction.
Where would Pembroke spend the majority of the time: At home, with me.

House dog or outside dog?

 House dog

People at home during the day?
 Yes, me.

Where would dog eat?
 Kitchen.

Where would dog sleep:
 Dog bed in our living room.

Play & exercise:
 A morning walk, an afternoon walk, play times mid morning & after we pick up our younger son from school.

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?
 4 ft tall wooden fence with locking gate.

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:

 Fenced in back yard, no pool. Two deck areas in the back yard, one with a pergola for shade. Enclosed patio off the kitchen. Large front yard with good-sized lawn & trees.

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?
 Me., Emily Massullo

Willing to train children?
 Yes. Our boys love our cats & are good with them. When they were little we worked closely with them to make sure that they learn how to be kind to a pet. Both my husband and I grew up with family pets— cats, dogs, rabbits, duck, parakeets— our pets are considered members of our family.

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?

 No, some of our current pets are not friendly toward dogs

Are you willing to work on it if your new dog doesn’t get along with your current pets right away?
 Our cats are used to dogs, but it’s been a number of years since they’ve been living with dogs. I’m pretty sure it will take awhile for the dog & the cats to acclimate, but I’m willing to work on it.

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}