Untitled_2779

Applicant IL
State: {Applicant State:2} Date of Application: 01/18/2020 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, Playful

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?

 Our family of 4. Scott – 51, Courtney – 48, Elliot – 16, Lucie – 12.

Why do you want a Pembroke?
 We are seeking to re-home a Pembroke Welsh Corgi to add to our current pack of 2 dogs. My wife and I owned 2 PWCs for a combined 30 years. Maddie and Basil were our “practice’” children that we got while in Graduate School in 1997 and 1998. They were siblings from 2 different litters. Basil lived to 14 succumbing to rear leg paralysis stemming from spinal issues. Maddie lived to 16 and passed away from cancer, We love the strong personalities of the PWC especially that they believe themselves to be big dogs. They are fun, playful dogs and are especially good at cuddling on the couch and bed. No squirrel was safe from the constant monitoring of their various backyards over the years, but they were both great with the several cats that joined our pack. We think it’s time to add a corgi to our lives again. The kids only have vague memories of the corgis and are ready to participate in any corgi’s care in our household.

Activities planned with Pembroke:
 Walks in the woods regularly, cuddling, road trips with family, swimming at my parents’ lake cottage(Basil used to retrieve bird hunting dummies in the water with my father’s 110lb yellow – his best friend). Face wrestling with our dogs and chase in the yard.

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: 		Firm tone of voice correction (and tug of leash if leashed). Correction must be near time of mistake for dog to understand connection between mistake and correction.

Discipline:
 Prefer incentive(praise & treats) to discipline. However – discipline as described above. With PWCs’ strong willed personalities, some correcting needs repetition and patience.

Where would Pembroke spend the majority of the time:
 At home with family – mainly my work from home wife and kids before/after school. I walk all the dogs twice per day – morning and after dinner.

Discipline:
 Prefer incentive(praise & treats) to discipline. However – discipline as described above. With PWCs’ strong willed personalities, some correcting needs repetition and patience.
Where would Pembroke spend the majority of the time: At home with family – mainly my work from home wife and kids before/after school. I walk all the dogs twice per day – morning and after dinner.

House dog or outside dog?

 House dog

People at home during the day?
 Yes, wife works from home.

Where would dog eat?
 In the kitchen area with each dog having its own separated area.

Where would dog sleep:
 Wherever it wants, but welcomed on the bed with our other dogs or either of the kids. We still have stairs we made for our previous corgis to safely get on and off the bed.

Play & exercise:
 Daily walks (our home is on the edge of a 51 acre nature preserve with trails). Play in the yard with humans and other dogs.

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?
 Invisible fence only because our property makes a physical fence nearly impossible. Current dogs and previous corgis all adapted quickly to it with training.

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:

 Large front and back yards(with separate invisible fence zones) with many trees. No pool. Back yard surrounded by plantings and hedges.

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?
 Scott Russell

Willing to train children?
 They already do.

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}