Untitled_2687

Applicant IL
State: {Applicant State:2} Date of Application: 11/25/2019 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:
 Any age
Gender preferred:
 Either a Male or a Female
Color preferred:
 Any color
Activity level:
 Playful

Other preferences:
 I might at some time in the future get a cat.

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?

 Me, and I would like to train him or her to be a therapy dog.

Why do you want a Pembroke?
 I am older and I wanted a dog breed that is good to be a therapy dog. I like to walk but not alone. I would also like a dog for protection, barking deters intruders.

Activities planned with Pembroke:
 Walks, playing in the yard, I like talk to them a lot, dog therapy classes and then visits to nursing homes or hospitals or hospices.

Aware that Pembrokes are busy, noisy dogs?
 Yes

Money for basic care?

 Yes

Money for unforeseen medical expenses?
 Yes

Willing to house train?
 No
Willing to do formal training? Yes

Do you have a veterinarian?

 No

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 try first to correct them telling them "No" and try to redirect them to a positive behavior reinforced with treats and verbal encouragment.

Discipline:
 Positive reinforcement with small treats, verbal praise, and pets.

Where would Pembroke spend the majority of the time:
 With me in my house, I am also an artist so I have studio and he/she would come out to the studio with me. Walks in morning and evening or one long walk. In the yard as needed but not outside all day.

Discipline:
 Positive reinforcement with small treats, verbal praise, and pets.
Where would Pembroke spend the majority of the time: With me in my house, I am also an artist so I have studio and he/she would come out to the studio with me. Walks in morning and evening or one long walk. In the yard as needed but not outside all day.

House dog or outside dog?

 House dog

People at home during the day?
 Yes, mosts days I am home. I have classes I attend and some commitments right now I work out in my studio or at my computer. I work in a dental Office 2-4 days per month for a 7-8 hour shift.

Where would dog eat?
 I tend to be pretty conscious of what I eat myself, so I treat my pets the same way. I usually get dog food from the health food store, so it is a higher grade food than the grocery store brands.

Where would dog sleep:
 In my bedroom or living room. My past dogs have always had their own beds, I do not allow my dogs to sleep in my bed. I would put a bed in my living room, my bed room and most likely in my studio too for the dog.

Play & exercise:
 I usually walk my dogs in the morning for 20-30 minutes and the same in the evening. Or I will take them on field trip to local parks and nature walks and walk longer 45-60 minutes or longer. in the past I have had a dog door so they could come and go inside and out as they pleased. I do not have that set up in this current house and I am not sure I would install a dog door here at my current location. I am around enough that it should not be an issue.

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?
 I have a 4 foot cyclone fence on three sides of my yard. the fourth side is on a river. I would put in an invisible fence on this side.

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:

 Back yard is fenced on 3 sides with cyclone fence and 4th side is on a river. I have a free standing barn in the back yard that is my art studio, a couple trees, lots of grass and it is on 2 levels with stairs down to the lower level in one part and a driveway that slopes down to the barn in the other part. I consider it to be a big yard. 2 dog on the west side that are out only sometimes, no dogs on the east side.

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?
 Karole Sharpe

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?

 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?
 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}