Untitled_2686

Applicant IL
State: {Applicant State:2} Date of Application: 11/24/2019 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), 1 year – 3 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:

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?

 Kellie Romany and Corey Potter.

Why do you want a Pembroke?
 Corey and I have a very close friend, Fay Cheng, who adopted a corgi from Lake Shore Corgis about a decade ago. We love her corgi like our own pet. We have dog sat for her many times and through that experience fell in love with corgis.

Activities planned with Pembroke:
 We would do walks, fetch, any activity that motivates our corgi to be active and keep up with training. With all activities we would make sure to take precaution of the back and eye problems corgis often have as they get older.

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 would use key words like no and stop. It is my understanding from my past experience with a corgi that they are great with friendly but firm training.

Discipline:
 I would use firm and friendly training methods. Keeping discipline consistent by using the same word like no and stop.

Where would Pembroke spend the majority of the time:
 With us in our home. We have a small yard, but would keep our corgi leashed.

Discipline:
 I would use firm and friendly training methods. Keeping discipline consistent by using the same word like no and stop.
Where would Pembroke spend the majority of the time: With us in our home. We have a small yard, but would keep our corgi leashed.

House dog or outside dog?

 House dog

People at home during the day?
 Yes. Corey works a retails schedule and I (Kellie) work a 9 – 5 working from home once a week. We both have a lot of flexibility and can be home as much as needed to train our puppy especially at first.

Where would dog eat?
 Our corgi would eat in our home out of a bowl at the proper height to make sure it is okay on the dogs back.

Where would dog sleep:
 I think this would depend on the personality of our corgi. We would be comfortable having the dog in our bed, in our bedroom, if the dog prefers a crate with the door open that would be fine too. I think it would really depend on what the individual dog is comfortable with.

Play & exercise:
 We would do long walks. If needed we would invest in doggy day care. We love to play fetch and have a car to go to dog beaches in chicago.

How will you exercise your dog?
 On leash

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?
 We have a metal fence in the front of our yard and a wooden fence in the back..

Living arrangements:
 Rent/lease 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?
 Yes, you may contact my landlord.

Lease allow dogs:
 Yes, my lease permits dogs.

Landlord permission:
 Yes, my landlord is fine with me owning a Pembroke

Restrictive covenants?
 Not applicable

Breed/size restrictions?
 Yes

Description of yard:

 We have a small front yard with grass and a back yard with a deck and bricks. Both the front and back yard are fenced in.

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?
 Kellie Romany and Corey Potter

Willing to train children?
 We do not plan on having children

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?
 Yes.

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}