Untitled_3534

Applicant IL
State: {Applicant State:2} Date of Application: 12/30/2020 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, 3 years – 5 years
Gender preferred:
 Either a Male or a Female
Color preferred:
 Any color
Activity level:
 Couch Potato, Outgoing, Quiet, Playful, Energetic, Very Active

Other preferences:
 Current 3 year old Greyhound/Cattle Dog mix who is fantastic with other dogs and house broken/knows basic commands. 5 foot fenced in yard at house.

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?

 Myself

Why do you want a Pembroke?
 My reasons for wanting to adopt a Corgi come from a variety of research and first hand experiences with the breed. As a high energy breed, Corgis are great companions for a highly active couple who enjoys long walks and hikes throughout Indianapolis. Additionally, Corgis are incredibly smart animals, which can be challenging but the rewards are exceptional loyalty and affection. Having dogsit for a neighbor during my college years who owned a corgi, I have witnessed first hand the large personality and vocal abilities.

Activities planned with Pembroke:
 Walking, Hiking, Doggy play dates at the Carmel Dog Park (membership-only dog park), Commands/tricks to encourage mental stimulation. Full fenced in yard for play time chasing balls/our other dog. Neighbors all have friendly dogs and fenced in yards as well and we frequently let the dogs play during nicer weather. Car rides and adventures beyond our city once COVID is over. We frequently leave for long weekends during warmer months and always take our current pup with us and plan dog-friendly trips.

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: 		Show them the correct behavior and then provide positive reinforcement.

Discipline:
 Positive reinforcement and rewarding them when they do good/correct thing.

Where would Pembroke spend the majority of the time:
 Free to roam the house and/or fenced in backyard. A crate is available if/when they get comfortable in new home and crate feels like a safe/comfy place for them. When not working they would be spending time at dog park, my best friends house, or on trips with my fiancé and I as well as hanging at the house.

Discipline:
 Positive reinforcement and rewarding them when they do good/correct thing.
Where would Pembroke spend the majority of the time: Free to roam the house and/or fenced in backyard. A crate is available if/when they get comfortable in new home and crate feels like a safe/comfy place for them. When not working they would be spending time at dog park, my best friends house, or on trips with my fiancé and I as well as hanging at the house.

House dog or outside dog?

 House dog

People at home during the day?
 Yes, I am a work at home pharmacist

Where would dog eat?
 Dedicated dog food bowls and water bowls in the mudroom with floor mat and clean bowls.We do not feed our current dog from the table or any human food.

Where would dog sleep:
 Our current dog has a dog bed at the foot of our bed and sleeps there.

Play & exercise:
 Numerous walks/fenced in yard to play with our current dog. I work from home and can take breaks to get out of the house. Members only dog park in Carmel and my Fiancé and I are very active when not working hiking and exploring around our city.

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?
 5 foot wrought-iron fence around entire back yard. Roughly 240 feet of fence in total so large-ish back yard.

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:

 Fenced in yard, no pool, corner lot so lots of grass and open area to roam. A couple trees that are newly planted so not large at this time. Eventually a patio will be built but will not impact total yard area by a significant amount.

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?
 Jarred Daugherty

Willing to train children?
 Yes however No children currently. No plans for it in near future.

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 100%

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}