Untitled_2924

State: {Applicant State:2} Date of Application: 04/11/2020 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

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-

Why do you want a Pembroke?
We love the breed because it is compact but has the spirit of a big dog and is very agile. Also, who wouldn’t love the Queen of England’s preferred breed?

Activities planned with Pembroke:
Family activities- daily walks, long walks on the weekend, go to the dog beach in Evanston, we would like a god we can take with us to most places. Maybe even train the dog as a support animal as I am a special education teacher and have an interest in bringing support dogs to my school.

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:
Reinforce and reward the behaviors we want and ignore undesired behaviors. Also be proactive and make sure the dog has enough exercise both mental and physical.

Discipline:
Training with treats and rewarding the positive behaviors.


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

Discipline:
Training with treats and rewarding the positive behaviors.
Where would Pembroke spend the majority of the time: In our house

House dog or outside dog?

House dog

People at home during the day?
Yes- there are people home most of the day. My husband works from home in the mornings while the kids are at school and then my 4 year old is home with the nanny in the afternoon.

Where would dog eat?
The food they come with and if it is a high quality dog food and the dog likes it we will continue with that brand. If it is not high quality we use to buy Canidae for our old dog and if that is considered a good brand still we would continue with that. I am also interested in feeding the dog raw food but would need to do research and talk to a vet before that.

Where would dog sleep:
Tough call- where does the corgi already sleep? Are they used to a crate or open bed? I would like to crate them at night but also might need a snuggle at night or the kids might need a snuggle. It would be an evolution but start with crating at night.

Play & exercise:
We have a fenced in backyard to play fetch and would take the dog on daily walks.

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?
Wood fence all the way around.

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 raised deck with a gate. Stairs down to a fenced in yard. It is fenced it all the way around.

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?
Jessica and Julian

Willing to train children?
Of course! We have many family members with dogs and some stay in our house with their dog every few months. The kids are really gentle with dogs and just want to sit and pet them.

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?
Yes, of course! But we are a 1 pet kind of family so I don’t imagine that we will have more than 1 ever.

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}