Untitled_3285

Applicant IL
State: {Applicant State:2} Date of Application: 08/31/2020 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:
 Male
Color preferred:
 Any color
Activity level:
 Outgoing, Quiet, Playful, Energetic

Other preferences:
 Must be friendly towards cats. We own two cats who are well behaved and do get along with quiet, playful dogs.

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?

 Family pet. Affaneh household

Why do you want a Pembroke?
 Love the look of Pembroke Welsh Corgis. We need a dog who can get along with cats and the Pembroke welsh corgi was one breed that was recommended. A family friend had a Corgi and cat and they got along well and he was very friendly towards everyone he’s met.

Activities planned with Pembroke:
 Play fetch, go on walks, and hangout and cuddle on the couch while we watch tv. Large house and basement for him to play, especially during winter times when it’s too cold for him to be outside for an extended period.

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: 		Positive reinforcement has been very effective for the dog in the past. Reward him for good behavior. Usually bad behavior has a root cause, usually not enough attention was given to the dog, so changes can be made if the occasion calls for it.

Discipline:
 Positive reinforcement

Where would Pembroke spend the majority of the time:
 In the basement with Omar or in the living room where the whole family spends their time.

Discipline:
 Positive reinforcement
Where would Pembroke spend the majority of the time: In the basement with Omar or in the living room where the whole family spends their time.

House dog or outside dog?

 House dog

People at home during the day?
 Yes, mom is retired and spends most of the time at home, dad works mornings and Omar works nights. Someone is awake at all times of the day and night to care for the dog. Mom is currently on a schedule for the cats, up at 6am to feed them.

Where would dog eat?
 He would eat in the kitchen, both in the morning and evening. With treats in between.

Where would dog sleep:
 He can sleep anywhere on the first floor and basement. Omar’s room is available as well as his bed.

Play & exercise:
 Lots of toys to play with, large backyard for him to run and play. Our neighbors own a golden retriever who he can run around with. We also have a basement that he can play in during his time inside. One of our cats is also very playful and loves to run around the house.

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:

 Large backyard that is not gated, no swimming pool. Largely grass with a seating area that is cement

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?
 Omar Affaneh, Yolanda Affaneh

Willing to train children?
 Yes but there are no young children in the home.

Any allergies?

 One or more family members might be allergic to dogs.

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, however usually these things take time, and if you don’t rush them getting to know each other things should be fine. Cats are very territorial but with the help of calming collars and pheromone scents they should get along with time

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}