Untitled_3113

Applicant IL
State: {Applicant State:2} Date of Application: 06/25/2020 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:
 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, Playful

Other preferences:

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?

 We are hoping to adopt a Pembroke Welsh Corgi for our home.

Why do you want a Pembroke?
 We fell in love with Corgis after we both grew up with dogs in the home and started to look to adopt our own. We appreciate the breeds playful demeanor, activity level, and playfulness. We also know how incredibly smart and active they are and are hoping to have a dog we can both cuddle and love as well as play and be active with.

Activities planned with Pembroke:
 We typically love to go on long walks and would love to take our Pembroke Corgi with us. We also are hoping to hiking, camping, playing fetch, and doing other outdoor activities with our Pembroke. Knowing the activity and energy levels of Corgi's it will be important to keep them both physically and mentally active.

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 use behavioral techniques to train the corgi if a mistake is made, particularly using positive reinforcement on a fixed interval schedule in order to discriminate between desired behaviors and mistakes. Additionally, knowing that Corgis need guidance and continuous exercise we will make sure to keep the corgi active and be attentive to respond if a mistake is made.

Discipline:
 We would make sure to train and enroll the dog in a training course if the dog needed to be disciplined or trained based off of mistakes. Additionally we would want to use behavioral techniques to help the corgi understand and differentiate between different behaviors. Overall, a gentle yet firm approach will be used, always keeping in mind how to corgi is responding and what the corgi needs.

Where would Pembroke spend the majority of the time:
 The Pembroke corgi would spend most of their time at home with both of us. We currently work at home and will be for the foreseeable future. Further we would be sure to not leave the dog for extended periods of time (more than 4 hours). If this was the case we would be sure the dog went to doggy day care.

Discipline:
 We would make sure to train and enroll the dog in a training course if the dog needed to be disciplined or trained based off of mistakes. Additionally we would want to use behavioral techniques to help the corgi understand and differentiate between different behaviors. Overall, a gentle yet firm approach will be used, always keeping in mind how to corgi is responding and what the corgi needs.
Where would Pembroke spend the majority of the time: The Pembroke corgi would spend most of their time at home with both of us. We currently work at home and will be for the foreseeable future. Further we would be sure to not leave the dog for extended periods of time (more than 4 hours). If this was the case we would be sure the dog went to doggy day care.

House dog or outside dog?

 House dog

People at home during the day?
 Yes we are both currently working from home and are home for most, if not the whole day.

Where would dog eat?
 The adopted corgi will eat in a consistent place in our home where their bowls for both food and water would be kept.

Where would dog sleep:
 We would assess where the Corgi is most comfortable, including either the bed, their own bed on the floor, or within a crate with a bed in that is more preferable.

Play & exercise:
 We would be sure to take the corgi on two long walks per a day to make sure that the corgi gets enough exercise and consistently. We would also be sure to go to dog parks, play with toys and play fetch with the corgi in order to provide the corgi with exercise and activity. Additionally, knowing how smart the breed is we would want to be able to stimulate the corgi mentally as well with tricks and other mental activities.

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?
 Not applicable

Breed/size restrictions?
 No

Description of yard:

 N.A.

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?
 Mandi Ginsburg

Willing to train children?
 Yes, we do not currently have any children, nor do we plan on having children soon, but when the time comes we will take the time to teach our child to humanely care for animals.

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?
 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}