Untitled_3398

Applicant IL
State: {Applicant State:2} Date of Application: 11/05/2020 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:
 Either a Male or a Female
Color preferred:
 Red & White, Red Headed Tri, Black Headed Tri, Sable & White, Any color
Activity level:
 Outgoing, Quiet, Playful

Other preferences:
 We are looking for a pup to add to our home that will feel comfortable in our smaller apartment space but will enjoy frequent walks and hikes that we enjoy going on as well! One of us does have allergies to some different types of dog breeds (for example is more allergic to some hypoallergenic dog breeds compared to a certain non-hypoallergenic breed). Allergies seem to be more well managed than ever with certain regular medications and air purifiers/filters. We plan to keep one room dog free as to help with this as well. It will be important for us to spend a bit of time with the dog to see if there will be a reaction and at what level.

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 (Marisa and Ben, as listed above)

Why do you want a Pembroke?
 We have had limited experience with the breed, but have met friends with the breed whom we have enjoyed. We are aware of the fact that these dogs were originally herders. This has reassured us that our dog will enjoy being active in the outdoors with us. We want a dog that will be affectionate and enjoy cuddling but be ready to go on an adventure with us as well.

Activities planned with Pembroke:
 We would love indoor play spoiling our pup with toys as well as frequent walks outdoors, and hopefully even winter hikes as we approach the cold season! Our families both have smaller dogs, one of which that is high energy that we would love to socialize our dog with as appropriate.

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: 		Give them a firm but calm "no" and redirect the behavior and show them correct behavior if appropriate for the situation, like replace biting with a toy or taking it outside if they have an accident inside. We would also remove them from the situation if they need a break.

Discipline:
 Positive reinforcement and redirection of unwanted behaviors.

Where would Pembroke spend the majority of the time:
 Indoors at home with us

Discipline:
 Positive reinforcement and redirection of unwanted behaviors.
Where would Pembroke spend the majority of the time: Indoors at home with us

House dog or outside dog?

 House dog

People at home during the day?
 Yes, one of us will typically be home because one works M – F, 7am – 4pm, and the other works 3, 12 hour night shifts a week.

Where would dog eat?
 In the kitchen/dining area.

Where would dog sleep:
 Either in the hallway outside of our room, or in the office.

Play & exercise:
 They will go on walks with us, as we already like to go on frequent walks. We would take them to dog parks. We would play with them at home. And we would let it play with our other family members dogs.

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?
 Yes

Description of yard:

 N/A

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?
 Marisa and Ben

Willing to train children?
 We don't have a child, but if we have one while we have a dog, then yes we would teach our child how to care for animals, how to be gentle, and how to communicate they would like space from the dog.

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?

Are you willing to work on it if your new dog doesn’t get along with your current pets right away?
 Yes if we get another pet in the future we would make sure that they get alone with one another.

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}