Untitled_3221

Applicant IL
State: {Applicant State:2} Date of Application: 08/07/2020 Referred by: Other
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:
 Male
Color preferred:
 Any color
Activity level:
 Couch Potato, Outgoing, Quiet, Playful, Energetic, Very Active, Other (Please describe in the box below.)

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?

 For me and looking to raise it with my girlfriend.

Why do you want a Pembroke?
 I have not had a dog before but my family had and my girlfriend had a little dog ( Chihuahua mix) and I love this a lot. One of the many times we went to the beach with her dog I was a little Corgi and fell in love right away and since then always point them out to my girlfriend and she says this is the dog for you that can be playful with you and make me not be a couch potato all the time.

Activities planned with Pembroke:
 I live close to Millennium Park and I think that’s a great place to take my Corgi our where he can play in the grass. There are a lot of quiet park over here too. I would love to play with my Corgi every day with some toys for him since I have seen how much joy playing with my girlfriend’s dog brings me.

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: 		I would give him a little clap (not hard) since I know that works for my family’s and my girlfriends dog

Discipline:
 My way of discipline would be by reward in particular giving treats for following and doing what I would like to him to do. I am a believer in positive reinforcement and rewards being strong than penalizing for learning. I would like to raise my Corgi the same way.

Where would Pembroke spend the majority of the time:
 Probably a good a amount of the day in my one bedroom apartment but also in the Millennium park or at the beach by my girlfriends place.

Discipline:
 My way of discipline would be by reward in particular giving treats for following and doing what I would like to him to do. I am a believer in positive reinforcement and rewards being strong than penalizing for learning. I would like to raise my Corgi the same way.
Where would Pembroke spend the majority of the time: Probably a good a amount of the day in my one bedroom apartment but also in the Millennium park or at the beach by my girlfriends place.

House dog or outside dog?

 House dog

People at home during the day?
 I am flexible to work from home but would have certainly work from the office for a few hours every week.

Where would dog eat?
 Closer to my apartment entrance. I have an area where my girlfriends dog currently eats next to the entrance door where I have laid out a little mat

Where would dog sleep:
 Probably in my bedroom but not in my bed but a bed on the floor. That’s where my girlfriends dog currently sleeps.

Play & exercise:
 There’s plenty of opportunities in the Millennium Park for him to play and with the toys I’d get him. There should be a lot of opportunities to run and play with other dogs and me in the park in particular.

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:

 There’s a rooftop with a swimming pool but dogs are not allowed in the pool. There is a separate dog run and play area. Note that my building is a large apartment building that allows any dogs and no real consent is required. Just a dog fee is required.

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?
 Johann Rebl

Willing to train children?
 Yes, even though I don’t have a child right now.

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 I will but I don’t see an issue since my girlfriends dog is very peaceful and doesn’t spend the majority of the time at my place.

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}