Untitled_3318

Applicant IL
State: {Applicant State:2} Date of Application: 09/15/2020 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:
 Female
Color preferred:
 Red Headed Tri, Black Headed Tri
Activity level:
 Couch Potato, Outgoing, Quiet, Playful, Energetic

Other preferences:
 Would prefer a dog that is friendly with other dogs as I enjoyed frequenting our local dog park daily. So, I would like to pass on dogs with know aggression issues if possible.

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?

 For myself. I just lost my Welsh Corgi Penny back on May 5th and have now started to consider looking into possibly adopting another Corgi and The Daily Corgi lead me to your site.

Thank you,
Zak


Why do you want a Pembroke?
 My previous pup was a Pembroke Welsh Corgi that I had since a baby. Her name was Penny. She was my everything and I miss her daily.

I have extensive experience with the corgi breed. Penny and I spent the last 2 years of her life living with degenerative myelopathy. Truly a heartbreaking disease, but I would have done anything for her. We coped with a wheel chair. Along with me helping her express herself to fully urinate. I would do it all over again in a heartbeat as I love this breed of pup deep down in my soul.


Activities planned with Pembroke:
 Frequent visits to our local dog park. About 3-4 times a week. Almost everyday some form of a short walk. Inside playing and stimulation to keep this smart breed happy. Long car rides were Penny and ours favorite past times too.

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: 		There are many forms of mistakes. My previous pup Penny liked to chew on practically everything. Keeping her away from the problem areas to start with a room with only her toys was how I tried to prevent it. Along with verbal commands of no when caught in the act.

Mistakes of going to the bathroom in the house I had pee and poop mats that I would take outside with me and Penny and have her smell the pad while outside then the ask her to go potty on the grass.


Discipline:
 Verbal commands with treat rewards on correct commands. Verbal praise or reprimand to become familiar with words.

Lease commands for walking or staying without moving while staying still.

Dog kennel training for only a short time while Penny was a pup.

Where would Pembroke spend the majority of the time:
 Inside free roaming in my house at the safety or where the dog is in their obedience training phase.

Discipline:
 Verbal commands with treat rewards on correct commands. Verbal praise or reprimand to become familiar with words.

Lease commands for walking or staying without moving while staying still.

Dog kennel training for only a short time while Penny was a pup.
Where would Pembroke spend the majority of the time: Inside free roaming in my house at the safety or where the dog is in their obedience training phase.

House dog or outside dog?

 House dog

People at home during the day?
 Currently with COVID yes. Once back to a normal schedule. No.

Where would dog eat?
 Would eat at home.

Where would dog sleep:
 Would sleep at home in my room.

Play & exercise:
 Endless trips to the dog park and walks. Where I go they would go as that how it was for me always in the past with Penny.

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?
 No, the condo covenants do not prevent me from having a dog.

Breed/size restrictions?
 No

Description of yard:

 No pool. Very large 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?
 Zak Stanley (Myself)

Willing to train children?
 No kids. If I did my kids would know how to treat and respect animals and the space that they sometime need. They are family 100%.

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?
 Currently no other pets in my house at this 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}