Untitled_2873

Applicant IL
State: {Applicant State:2} Date of Application: 03/22/2020 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:
 0 months – 1 year (we rarely get dogs in this age group), 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, Very Active

Other preferences:
 We live in an apartment right now that has a dog park and a more park just a few blocks away. We love to go on walks, hikes and runs. We will being moving to a house that we are currently building in the next year that will have a yard and fence.

Previous dog owner?
 No
 
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?

 Both will being taking care of the dog as we live together.

Why do you want a Pembroke?
 They always seem to bright and energetic. I have not had a lot of personal experiences with the breed but all the ones we have had were positive. The dogs have been friendly and kind. I have done research on the breed. They have a potential for some heath problems but those can be mitigated with regular checks and vet visits. They generally have higher energy levels which is manageable with our active life style. We both would love to add on of these bright dogs in our lives.

Activities planned with Pembroke:
 We would like to take our dog walks and small hikes depending of the energy level of the dog. Taking them to the dog park to play with other dogs and to get them to run around.

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: 		We would correct the undesirable behavior using corrective words, tone of voice and body language.

Discipline:
 We use corrective words, an authoritative tone of voice and clear body language.

Where would Pembroke spend the majority of the time:
 Inside unless they would like to go out for a walk or to the dog park/yard.

Discipline:
 We use corrective words, an authoritative tone of voice and clear body language.
Where would Pembroke spend the majority of the time: Inside unless they would like to go out for a walk or to the dog park/yard.

House dog or outside dog?

 House dog

People at home during the day?
 No, there are not people home during the day.

Where would dog eat?
 Out of a dog bowl in the kitchen or kitchen/eating area

Where would dog sleep:
 In the bedroom but not in our bed. They would have a bed and as many blankets as they would like to sleep.

Play & exercise:
 Walks, hikes, jogs/run
Additionally, our apartment mate until June has a medium sized dog that loves to play/being chased. We are also looking to get a golden retriever/lab/border collie once we have a yard and fence.
This would allow both the corgi and other dog to play and get exercise together.

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:
 We current rent but are build a house that will have at least a .25 acre yard and fence. we will be moving within a year (in the same city)

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:

 The house we are build has a yard that is mostly flat and does not have any features like a swimming pool or drainage areas

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?
 Cassidy and Jenny

Willing to train children?
 Yes. There are no children in the home at the time and will not be for at least 5 years

Any allergies?

 One or more family members might be allergic to dogs.

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}