Untitled_3512

Applicant IL
State: {Applicant State:2} Date of Application: 12/20/2020 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 (Please describe in the box below.)

Other preferences:
 I have sufficient, stable retirement income for pets’ needs and veterinary care.

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?

 Me. I live alone.

Why do you want a Pembroke?
 I have mostly had rescue sporting dogs (all died in old age except one at 14 with brain cancer) but since I am now 60, I’d like a smaller, less hyper dog. I am part Welsh so have always followed the Corgi breed and like their personality! There are Corgis in my area. I have no preference as to Pembroke or Cardigan Welsh Corgi or even a mixed breed Corgi.

Activities planned with Pembroke:
 Walking on the neighborhood and nearby park trails, playing and snuggling at home and in the porch and small (unfenced) yard (with open space behind), going camping in a hard side travel trailer, going to the dog park

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: 		Absolutely no yelling. Figure out the cause – is it anxiety, or physical or environment? Address the cause with redirection, positive reinforcements, retraining, vet consultation, behavior consultation (my sister is amazing with animal behavior modification and training)

Discipline:
 Redirection, distraction, reassurance, retraining or training positive reinforcement. Training treats. Toys. Crate if needed and only if that works for the dog. (I had a dog who could never tolerate a crate.) Never yelling.

Where would Pembroke spend the majority of the time:
 I’m retired, so the Corgi would be spending most of the day with me, with the only exception being where a dog would not be permitted.

Discipline:
 Redirection, distraction, reassurance, retraining or training positive reinforcement. Training treats. Toys. Crate if needed and only if that works for the dog. (I had a dog who could never tolerate a crate.) Never yelling.
Where would Pembroke spend the majority of the time: I’m retired, so the Corgi would be spending most of the day with me, with the only exception being where a dog would not be permitted.

House dog or outside dog?

 House dog

People at home during the day?
 I am retired so am home excepting errands where dogs are not allowed. I see no point in having a dog if it lives outside.

Where would dog eat?
 A veterinarian-recommended diet of quality food (or prescription as needed).

Where would dog sleep:
 On a comfortable dog bed or with me on my bed as the Corgi prefers. I would get a step system for access to the bed. Maybe in a crate with a bed, if that is what the Corgi would prefer.

Play & exercise:
 I like to walk. There are walking trails within the neighborhood and at a nearby park. There is also a dog park in town.

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:
 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:

 My townhouse has its own yard that backs to an open area with a walking trail and trees beyond that. I have an enclosed front porch and a screened back porch. Fences are not allowed.

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?
 Me

Willing to train children?
 My son is 28 and lives on his own but grew up with dogs and is an animal lover.

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. Cheetah is being treated for kidney disease so her life span is unknown. Both have grown up around active dogs. Kink is so mellow she likes to snuggle and sleep with dogs. I would do anything and everything possible to make sure my pets get along and are happy.

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}