Untitled_3416

Applicant IL
State: {Applicant State:2} Date of Application: 11/11/2020 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:
 Either a Male or a Female
Color preferred:
 Any color
Activity level:
 Couch Potato, Outgoing, Quiet, Playful, Energetic, Very Active

Other preferences:
 We would love for our Pembroke to be a good mix between couch potato and energetic. We want to be able to take walks but also spend some time on the couch.

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?

 This Pembroke is for our family of three, we have a 17-year-old as well.

Why do you want a Pembroke?
 We love the breed. The size of Pembrokes is perfect for our home. We love dogs that are both chill and cuddly but can also go for long walks and be active. We also love how lovable and trainable corgis are. We have not owned a corgi before but we have owned dachshunds so we are familiar with their back problems and their similar lifestyles.

Activities planned with Pembroke:
 Definitely walks daily. When it is warmer we would love to take him or her to the beach. Other than that most of our time will be spent playing inside or in the backyard and of course taking naps and cuddling.

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
Example: If they jump on the bed, tell them no but also tell them to get down and then reward them in some way for getting down.

Discipline:
 We would take time to train the dog but we really believe in positive reinforcement. We will focus on consistency when rewarding the dog for the good things they do. If we catch them in the act of doing something such as chewing on a shoe we will say a quick but stern no and take it out of their mouth but we will replace it with a toy and then proceed to pet them and telling them that a toy is a better option.

Where would Pembroke spend the majority of the time:
 Currently, everyone is home so they would have a full range of the house. If we leave all doors to the bathrooms and bedrooms would be closed so they would have access to the main area of the house, the kitchen, dining room, and living room.

Discipline:
 We would take time to train the dog but we really believe in positive reinforcement. We will focus on consistency when rewarding the dog for the good things they do. If we catch them in the act of doing something such as chewing on a shoe we will say a quick but stern no and take it out of their mouth but we will replace it with a toy and then proceed to pet them and telling them that a toy is a better option.
Where would Pembroke spend the majority of the time: Currently, everyone is home so they would have a full range of the house. If we leave all doors to the bathrooms and bedrooms would be closed so they would have access to the main area of the house, the kitchen, dining room, and living room.

House dog or outside dog?

 House dog

People at home during the day?
 Yes, we work from home.

Where would dog eat?
 Our corgi would eat in the kitchen. We have an area for dog food and dog bowls.

Where would dog sleep:
 She or he would sleep in either the dining room in their crate, on their bed, or if they wanted to sleep with our daughter in her bedroom that would also be an option. Our previous dogs preferred sleeping in the dining room, one in her crate, and one next to the crate on his bed. Either of those options is okay with us however for those first few nights we will probably have them in a crate at night.

Play & exercise:
 One of us will take the corgi on daily walks. We will probably walk them once or twice a day but always once. We do have a fenced backyard so the corgi will be able to have a private space to play if she or he becomes energetic in the middle of the day while we are at work or school or if they just need to use the bathroom quickly. There are many opportunities throughout the day for indoor playing time and lots of time at night.

How will you exercise your dog?
 Both on leash and restrained to the yard

Fenced yard?

 Yes, I have a fenced in yard.

Willing to pick up dog waste?
 Yes, I will clean up after my dog.

Willing to use a crate?
 We have a tall wooden fence on every side of the yard. No one can see in or out. It is very private.

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 live in Chicago so our yard is not super big but we have a larger grassy area and on the side, there is a garden that has a mini fence surrounding it.

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?
 We all have separate roles. Tony: primarily responsible for appointments and purchasing goods. Elizabeth: walking, grooming, and feeding. Veronica: taking the dog out at night and making sure everything is good before bed time.

Willing to train children?
 Our daughter is 17 and has had three dogs throughout her life. She is very capable of taking care of a dog.

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?

Are you willing to work on it if your new dog doesn’t get along with your current pets right away?
 We do not have any other animals living in our home.

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}