Untitled_3478

Applicant IL
State: {Applicant State:2} Date of Application: 12/03/2020 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:
 1 year – 3 years, 3 years – 5 years, 5 years – 10 years
Gender preferred:
 Either a Male or a Female
Color preferred:
 Any color
Activity level:
 Outgoing, Playful, Energetic

Other preferences:

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?

 Kathy and Todd Petersen

Why do you want a Pembroke?
 We had two Corgis (brothers) for the past thirteen years. Both dogs passed away earlier this fall. Our favorite characteristics of this breed include a playful, friendly nature a self confident intelligent demeanor and a strong sense of family.

Activities planned with Pembroke:
 Three a day walks, evening play time and occasional swims at the summer cottage

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: 		It would depend on the severity and nature of the mistake. We had considerable success with our Corgis employing a combination of treats and affection to reinforce positive behavior.

Discipline:
 We would usually remove the dog from whatever situation may have triggered the offense and have him sit quietly with one of us. In our experience discipline is lot less stressful for all concerned once we establish ourselves as the "alpha" animal in the households. (per the Cesar Millan methodology).

Where would Pembroke spend the majority of the time:
 Depends on the season, our Corgis spent most of the time during winter in the house. Spring, summer and fall we would allow them outside as much as 3 to 4 hours a day (during daylight and assuming one of us was home)

Discipline:
 We would usually remove the dog from whatever situation may have triggered the offense and have him sit quietly with one of us. In our experience discipline is lot less stressful for all concerned once we establish ourselves as the "alpha" animal in the households. (per the Cesar Millan methodology).
Where would Pembroke spend the majority of the time: Depends on the season, our Corgis spent most of the time during winter in the house. Spring, summer and fall we would allow them outside as much as 3 to 4 hours a day (during daylight and assuming one of us was home)

House dog or outside dog?

 House dog

People at home during the day?
 Yes, we are both retired.

Where would dog eat?
 In the mudroom off the kitchen

Where would dog sleep:
 In a dog bed in our bedroom

Play & exercise:
 We have always striven (weather permitting) to walk our dogs three time a day. At least one of the walks would be 30 minutes or more in duration. We also have a large section of our fenced yard dedicated to the use of the dogs.

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?
 4 ft high wooden picket fence with vertical slats 4 inches apart

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 large 1500 square foot side/back yard with picket fence…no swimming pool. House has a 500 square foot deck with a six step staircase leading to the 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?
 Tood and Kathy share

Willing to train children?
 We are empty nesters

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

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}