Untitled_3122

State: {Applicant State:2} Date of Application: 06/28/2020 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
Gender preferred:
Either a Male or a Female
Color preferred:
Sable & White, Any color
Activity level:
Couch Potato, Outgoing, Quiet, Playful, Energetic, Very Active

Other preferences:
Good with other dogs

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

Why do you want a Pembroke?
My previous dog was a lab/corgi mix and many of her personality traits seemed to be that of a corgi. I attend a pet friendly college and the corgis on campus are my favorite dogs to visit with!

Activities planned with Pembroke:
I love training dogs I would love to teach basic commands and fun tricks. I would love to go to our local dog park and of course just sit at home and play!

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:
a stern no during the action, but positive reinforcement to reinforce the correct behavior.

Discipline:
Not much discipline besides stern no’s. With my previous dog I solely used positive reinforcement to train.


Where would Pembroke spend the majority of the time:
We would spend time at both my family home and my college campus.

Discipline:
Not much discipline besides stern no’s. With my previous dog I solely used positive reinforcement to train.
Where would Pembroke spend the majority of the time: We would spend time at both my family home and my college campus.

House dog or outside dog?

House dog

People at home during the day?
Yes, my dad works from home and while I’m at school I rarely leave for more than the duration of a class.

Where would dog eat?
Out of a dog bowl in the kitchen.

Where would dog sleep:
Initially he or she would be crate trained, but as trust was built he or she would sleep in bed with me.

Play & exercise:
I love walking dogs, so a daily walk would be a must. At school we have dog parks on campus, so we would visit multiple times a day. We have a large fenced in yard at home that he or she would be allowed to wander in.

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?
It’s a Vinyl privacy fence

Living arrangements:
Both own home and dorm apartment.

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:

There is a pool, but previous dog was taught survival swimming and rarely allowed out without supervision.

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 Filipiak

Willing to train children?
Yes

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}