Untitled_2736

Applicant IL
State: {Applicant State:2} Date of Application: 12/29/2019 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:
 Couch Potato, Outgoing, Quiet, Playful, Energetic

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?

 The Pembroke is for me. I recently had to put my red and white Pembroke to sleep, due to illness and age (15 years old), and I am ready to rescue my new best friend.

Why do you want a Pembroke?
 I had adopted an older Pembroke four years ago and we bonded immediately. Unfortunately, I had to put her to sleep a couple of months ago due to old age (15 years old) and illness and it broke my heart. I loved so many things about her and the breed. I loved that she was so smart, active and playful. Even at 11 years of age we played ball and she would jump off the ground and catch a tennis ball in her month – no problem. I am very active and love that this breed is energetic and playful, but also social with a good disposition. I have done research on the breed and know that they are herding dogs that are very intelligent.

Activities planned with Pembroke:
 Play ball and go for daily walks. He or she would ride with me in the car and travel to run errands, visit friends and relatives; and when possible accompany me on work excursions. He or she would be brushed every day and have regular trips to the groomers. Looking and smelling good is always important.

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 verbally tell the dog that they've made a mistake and that they need to go outside. Verbally reinforcing the rules and put the dog outside to illustrate that going the bathroom needs to take place outside. I would be patient and reinforce positive behaviors.

Discipline:
 Consistent verbally discipline.

Where would Pembroke spend the majority of the time:
 In the house.

Discipline:
 Consistent verbally discipline.
Where would Pembroke spend the majority of the time: In the house.

House dog or outside dog?

 House dog

People at home during the day?
 Yes, approximately four days a week.

Where would dog eat?
 In the kitchen.

Where would dog sleep:
 In my room with me in his or her own bed.

Play & exercise:
 My previously routine was as soon as I got home from work my Corgi would go outside and then it was time for dinner. After her dinner we went for a walk, played ball and she was brushed. The rest of the evening was usually spent with her following me around the house (she loved to be in the kitchen with me and get veggies when I was cooking) and us spending quality time together.

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?
 No, the condo covenants do not prevent me from having a dog.

Breed/size restrictions?
 No

Description of yard:

 I have a fairly large grassed front and side yard that is great for playing ball and running.

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?
 Pamela

Willing to train children?
 I don't have any children at this time, but 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?

Are you willing to work on it if your new dog doesn’t get along with your current pets right away?
 N/a

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}