Untitled_3223

Applicant IL
State: {Applicant State:2} Date of Application: 08/09/2020 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:
 Female
Color preferred:
 Red & White, Sable & White
Activity level:
 Couch Potato, Outgoing, Quiet, Playful

Other preferences:
 Needs to be tolerant of our old cat.

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?

 Our family. We currently have no children but would like to start a family in the next 1-2 years. We have an older cat.

Why do you want a Pembroke?
 We think Pembroke Welsh Corgi's are adorable. One of our students has one and occasionally brings it to visit us. We enjoy their temperament and high intelligence level. We have a nice sized yard and spacious single-family home and would love to fill it with the joyfulness of a dog. We have both ground up with various dogs and are excited to have one of our own. We have thoroughly read the AKC's website information on the breed traits, description and health; we feel a Pembroke Welsh Corgi would be a great fit for our family.

Activities planned with Pembroke:
 We take at least one walk (30 min or longer) every day and would love to have a dog to keep us company. We would love to be greeted everyday by a dog upon returning from work. We would love to play with/train the dog in our nice backyard and cuddle with it on the couch when the tv is on. We do not agree with chaining, ignoring or crating animals.

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: 		Employ techniques learned in training/obedience class. We do not condone beating animals or abuse of any kind. We do not feel excessive yelling is constructive in any situation.

Discipline:
 Verbal cues, Positive reinforcement of good behavior with treats, we have used a clicker system in the past.

Where would Pembroke spend the majority of the time:
 Free to roam in our home (or gated to the main floor for safety when we are away); outside in our backyard with us when we are home. We do not believe in crating animals unless traveling in a car.

Discipline:
 Verbal cues, Positive reinforcement of good behavior with treats, we have used a clicker system in the past.
Where would Pembroke spend the majority of the time: Free to roam in our home (or gated to the main floor for safety when we are away); outside in our backyard with us when we are home. We do not believe in crating animals unless traveling in a car.

House dog or outside dog?

 House dog

People at home during the day?
 Occasionally. This depends upon the time of year. The longest it would be alone would be 4 hours with our current work schedules.

Where would dog eat?
 Either the kitchen or mudroom (on the main level).

Where would dog sleep:
 On a dog bed in the master bedroom.

Play & exercise:
 Daily walks of at least 30 minutes. Daily playtime in our spacious backyard.

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 have a spacious, grassy back yard (roughly 25 square yrds). It is enclosed by trees on one side, a neighbors fence on one side and open to the other neighbor on the other side whom loves dogs but is, in her words "too old" to care for one. There is a 3' circular firepit made of paving stones in the center (the walls of this are tall enough to keep the dog from getting inside it and we could get a lid if necessary for safety).

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?
 Steven

Willing to train children?
 We do not currently have children but are dedicated to doing this in the future.

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 we will work out any issues which may come up.

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}