Untitled_3143

Applicant IL
State: {Applicant State:2} Date of Application: 07/08/2020 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, Quiet, Playful

Other preferences:
 N/A

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?

 Myself

Why do you want a Pembroke?
 We love this breed because they tend to be smaller dogs in size and are perfect for apartment living. They also seem to be affectionate and smart. We know that they require attention and a good amount of exercise. We are also aware that they require grooming as they shed quite a bit. We do not have experience with this breed but have done our research, especially regarding health issues. We know that they are typically healthy but can be prone to hip issues, along with other problems, due to their stature.

Activities planned with Pembroke:
 Living in a city, our dog would be able to go on plenty of walks and visits to the dog park. Our dog would also have the opportunity to have play dates with our family's mini doodle and of course playtime at home!

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 a more stern voice to stop the behavior. Also, depending on the mistake, we would show our dog what the right way of doing something is and reward them once they correct their mistake by verbal praise or a treat.

Discipline:
 We would put our dog in a short time-out, use a stern voice, or take their toys away as negative reinforcement.

Where would Pembroke spend the majority of the time:
 While we are at home, our dog would be free to roam around the apartment. At night, our dog would be placed in his/her crate. During work hours, due to staggered schedules, our dog would be in the crate for a few hours if needed. We would also have a dog walker for longer workdays.

Discipline:
 We would put our dog in a short time-out, use a stern voice, or take their toys away as negative reinforcement.
Where would Pembroke spend the majority of the time: While we are at home, our dog would be free to roam around the apartment. At night, our dog would be placed in his/her crate. During work hours, due to staggered schedules, our dog would be in the crate for a few hours if needed. We would also have a dog walker for longer workdays.

House dog or outside dog?

 House dog

People at home during the day?
 For part of the day due to staggered work schedules (one person works morning to afternoon, one person works afternoon to late evening).

Where would dog eat?
 A dedicated area for food and water bowls.

Where would dog sleep:
 Crate or anywhere inside depending on dog/age.

Play & exercise:
 Morning and afternoon walks as well as regular play while we are at home. On the weekends, more opportunities would be available, such as dog parks.

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?

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?
 Kiran Bhayani-Larsen

Willing to train children?
 Currently do not have children but if the time comes, 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?

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}