Untitled_3132

Applicant IL
State: {Applicant State:2} Date of Application: 07/04/2020 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:

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?

 Jean Weiss & Steven Ellingson

Why do you want a Pembroke?
 We want to adopt a corgi because we believe there are already enough dogs in need of homes we could never think to buy from a breeder. We want a Pembroke Welsh Corgi because they are fun loving and easy going dogs, and great for apartment life. We also love the size and look of them. We cannot wait to welcome a corgi into our home.

Activities planned with Pembroke:
 We would go for walks, corgi appropriate hikes, take them to dog parks, snuggle, take them to puppy parties to interact with their friends, shower them with love, and give them the best life they could possibly imagine, and then some.

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 try to redirect them and use positive reinforcement for things they do correctly.

Discipline:
 Time out areas
Being cold/aloof
Using a high pitched noise to replicate the yelp of a dog so they they hurt you (if they nip)
Use a stern voice that is not loud or too angry

Where would Pembroke spend the majority of the time:
 In our apartment. We would be sure to take them out for walks and to get exercise at dog parks daily.

Discipline:
 Time out areas
Being cold/aloof
Using a high pitched noise to replicate the yelp of a dog so they they hurt you (if they nip)
Use a stern voice that is not loud or too angry
Where would Pembroke spend the majority of the time: In our apartment. We would be sure to take them out for walks and to get exercise at dog parks daily.

House dog or outside dog?

 House dog

People at home during the day?
 Yes. We work from home.

Where would dog eat?
 We would set up an eating/drinking area in our kitchen.

Where would dog sleep:
 Wherever they want to. We have a 3 bedroom apartment with plenty of room and choices. We will have many doggy beds as well as our own bed for them to choose from.

Play & exercise:
 Our apartment complex has a small leash-less dog run area, there is a city bike path that runs right behind our apartment, and there are several dog parks in our city. We will make sure they get as much play and exercise as they desire.

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?
 Our apartment provides a dog run area that is completely enclosed and private.

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?
 Yes

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?
 Both of us

Willing to train children?
 We do not have children, and do not plan on having any. If there are any children around our corgi, we will be sure they know how to treat 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?
 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}