Untitled_3051

Applicant IL
State: {Applicant State:2} Date of Application: 06/04/2020 Referred by: Other
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:
 Male, Either a Male or a Female
Color preferred:
 Any color
Activity level:
 Couch Potato, Outgoing, Quiet, Playful, Energetic

Other preferences:
 We do have one other dog (3yr old), so a corgi that is well socialized or friendly towards other dogs would be preferred.

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?

 Me and my fiancé on the application are looking to adopt a corgi.

Why do you want a Pembroke?
 I've always wanted a corgi and after doing a lot of research on the breed we think that it would be a perfect fit for our lifestyle. We know that these dogs were originally herders and are built strong and athletic. We are able to provide a loving atmosphere and enough stimulation and physical exercise for this energetic breed. All experiences have been positive as these dogs almost always tend to be pretty friendly, yet protective. We have done research and will continue to do so to better prepare and adapt to the needs of the corgi we receive.

Activities planned with Pembroke:
 We love to go on long walks especially along the lake Michigan. We are currently looking at dog parks around the neighborhood we just moved to. We would also love to take the dog hiking and any outdoor activities. We also love to play with our dog inside the house with toys. We would love our current dog and our new corgi to be able to play together.

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: 		If the dog makes a mistake we would voice that to the dog and let it know with a simple and firm "no" and possibility of a time out. We NEVER hit or scream at our dogs. Negative reinforcement is not a form of punishment we use.

Discipline:
 With our current dog, we let the dog know that what it did was wrong at the time that the behavior or event occurred. We are firm and consistent. We also believe in positive reinforcement. In addition, we do have our dog kennel trained. A time out has worked well for us.

Where would Pembroke spend the majority of the time:
 The Pembroke would spend a lot of the time with me and my fiancé and our other dog. It would be a house dog but also enjoy the outside, as we are an adventurous couple and like doing outdoor activities.

Discipline:
 With our current dog, we let the dog know that what it did was wrong at the time that the behavior or event occurred. We are firm and consistent. We also believe in positive reinforcement. In addition, we do have our dog kennel trained. A time out has worked well for us.
Where would Pembroke spend the majority of the time: The Pembroke would spend a lot of the time with me and my fiancé and our other dog. It would be a house dog but also enjoy the outside, as we are an adventurous couple and like doing outdoor activities.

House dog or outside dog?

 House dog

People at home during the day?
 Yes. I am a nurse on night shift 3 days a week and my fiancé works during the day 5-6 days a week. The dogs would only spend an hour or two alone at a time.

Where would dog eat?
 In our house with their own bowls.

Where would dog sleep:
 In the bed with us or wherever the corgi prefers. We have dog beds in the living room as well as a kennel that would remain open. Our current dog sleeps with us in our king size bed.

Play & exercise:
 We have been very active with taking our dog on long walks usually a mile or so. We are also working on finding a dog park around our neighborhood where the dog can roam freely and unleashed in a safe space. Our dog would hopefully play a lot with the corgi inside and outside the house. We make it a point to make sure our dog is adequately exercised and healthy.

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:
 Rent/lease 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?
 Yes, you may contact my landlord.

Lease allow dogs:
 Yes, my lease permits dogs.

Landlord permission:
 Yes, my landlord is fine with me owning a Pembroke

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

Breed/size restrictions?
 Yes

Description of yard:

 We don't live in a house. We live in a pet friendly apartment complex.

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?
 Samantha & Marcus

Willing to train children?
 We don't have any children nor plan on having children. However I have younger siblings who may visit and will definitely take the time to teach them appropriate behavior.

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}