Untitled_3166

Applicant IL
State: {Applicant State:2} Date of Application: 07/15/2020 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:
 Any age
Gender preferred:
 Either a Male or a Female
Color preferred:
 Any color
Activity level:
 Other (Please describe in the box below.)

Other preferences:
 We have a male English Cocker Spaniel who has a lot of energy, so we make frequent trips to wildlife areas where he can run free. We live in an area where there are many places for dogs to safely exercise and explore. We also have an elderly Maine coon cat who keeps to herself most of the time. As a family, we would love a young companion to grow with our family. But, we also have a soft spot for older dogs who need a place to live out their golden years.

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?

 We are a family of four. Two parents and two young girls, 2 and 5.

Why do you want a Pembroke?
 I have done some reading on this breed and feel their temperament would be a perfect fit for our family. As a child, I grew up with miniature dachshunds and I have always loved the short legged/long body dogs. I have wanted to adopt a Pembroke for years.

Activities planned with Pembroke:
 We are a family that likes to spend time outdoors. If our Pembroke was up to it, there would be plenty of opportunity to come along on hikes with the kids or just hang out in the yard with us. We are looking to add another member to our family.

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: 		It depends on the mistake. We believe that removing obstacles that would create issues is the best way to prevent issues in the first place. For example, keeping the house tidy so that the Pembroke would not be tempted to chew on unsafe objects. Also, frequent trips outside to use the bathroom so that accidents inside are less likely to happen.

Discipline:
 We know that training a dog is an ongoing endeavor. We use positive reinforcement of good behaviors and gently correct poor behaviors. We do our best to assess all contributing factors of bad behaviors and make corrections to set them up for success.

Where would Pembroke spend the majority of the time:
 Our Pembroke would spend most of their time with our family. I work on weekends and my husband will always be home with the kids during this time. During the week, I am home with the kids. There will always be someone home and activities for our Pembroke to join us in.

Discipline:
 We know that training a dog is an ongoing endeavor. We use positive reinforcement of good behaviors and gently correct poor behaviors. We do our best to assess all contributing factors of bad behaviors and make corrections to set them up for success.
Where would Pembroke spend the majority of the time: Our Pembroke would spend most of their time with our family. I work on weekends and my husband will always be home with the kids during this time. During the week, I am home with the kids. There will always be someone home and activities for our Pembroke to join us in.

House dog or outside dog?

 House dog

People at home during the day?
 Always.

Where would dog eat?
 We feed our dog at the same time we eat – in the dining room with us.

Where would dog sleep:
 We will provide a crate, if they would prefer to sleep there. But they will be welcome in our bed as well.

Play & exercise:
 There will be numerous trips to the dog park, dog training areas, playing out in the yard. We also go on daily walks around the neighborhood. Our corgi would have a great deal of play time and exercise because these activities are already a part of our daily life.

How will you exercise your dog?
 Both on leash and restrained to the yard

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:
 Own 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:

Landlord permission:

Restrictive covenants?
 Not applicable

Breed/size restrictions?
 No

Description of yard:

 We live in a house on a corner lot in town. We have an average to smaller size yard, but we do not limit ourselves to the yard for outside time. We have a garden and a deck in our yard.

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?
 Patricia Foley

Willing to train children?
 Absolutely.

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. Maya prefers to be left alone. We have provided her with her own space where she can get away if she wants. Kick is very friendly and loves interacting with other dogs.

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}