Untitled_2733

Applicant IL
State: {Applicant State:2} Date of Application: 12/28/2019 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:
 Couch Potato, Outgoing, Quiet, Playful, Energetic

Other preferences:
 I am allowed to work from home once a week and I also live close enough to work to let the corgi outside at lunch.
I would be able to fence in my yard.
My aunt is an assistance dog trainer and works at the Michigan Canine Athletic Center. She would be able to reference good dog training classes and assist in other dog training activities.

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?

 Myself

Why do you want a Pembroke?
 I love the breed and have for quite some time. Following several social media accounts, I get daily videos and posts sent my way. I love the breed, the different colors, the cute ears, and of course the butt! I do not have direct experience with this breed, however I have had playful experiences in the past with friends who have had this breed. The research has been done on my end, and what I have read and watched, I do believe I would make a great owner based on my love for the breed, my eagerness to love and interact with the breed, and welcome the dog into my dog-friendly family.

Activities planned with Pembroke:
 Depending on the dogs interests, nose work, rally obedience, agility, daily walks is what I would like to do with my Pembroke. This all of course depends on the Pembroke’s interests.

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?

 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: 		Redirection, possibly verbal correction, depending on the mistake (‘no’, ‘leave it’, ‘off’, etc), and possibly a time out in crate.

Discipline:
 Verbal correction and redirection.

Where would Pembroke spend the majority of the time:
 With me in the house and out on walks, if not home, crated for their own safety.

Discipline:
 Verbal correction and redirection.
Where would Pembroke spend the majority of the time: With me in the house and out on walks, if not home, crated for their own safety.

House dog or outside dog?

 House dog

People at home during the day?
 If I am not at home, there would not be anyone. However, I have a lot of family nearby that would be able to stop by if an emergency arises.

I am also able to work from home once a week and work close by to pop home at lunch.


Where would dog eat?
 My corgi would eat whichever AAFCO food is recommended by their veterinarian.

Where would dog sleep:
 My corgi would sleep in a comfortable crate at night in my room.

Play & exercise:
 Exercise as often as the corgi would like. I have several well trained and socialized dogs in the family that would love to welcome another furry friend.

How will you exercise your dog?
 Both on leash and restrained to the yard

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 am willing to fence in my yard in order to keep my corgi safe at all times. I do not have a swimming pool, nor are there any in my neighborhood.

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?
 Kyle Syrba

Willing to train children?
 Not applicable…no children at this time.

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 am absolutely willing to resolve the problem if my corgi does not get along with other pets. Because I do not have other pets living in my household, this issue should not blossom.

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}