Untitled_3620

Applicant IL
State: {Applicant State:2} Date of Application: 02/04/2021 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:
 Any color
Activity level:
 Couch Potato, Outgoing, Quiet, 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?

 Myself and Son (50%)

Why do you want a Pembroke?
 My family dog (Joey) passed away a few years ago, and my son is of the age that we are ready for him to experience his first dog. I grew up with MANY animals (mostly dogs) but Joe-Joe was by FAR the favorite. My mother works as a receptionist to a local vet, so she was always bringing her work home :). Joe lived to be 12 and was by my side until the end. I was the one to take him to obedience classes when he was a pup, so he gravitated to me the most. He learned everything SO quickly, so much that he was aloud into the advanced class well before the age requirement. He learned voice and hand commands. When I moved out, he came with me. One day I came home from work and he was just laying there…like he was waiting for me. We rushed him to the vet to discover he had a tumor on his heart. He died during surgery that day.

Activities planned with Pembroke:
 My Joey was born in the winter months here in Michigan, so he LOVED the snow! Idk if that's common with the breed or just good timing, but he loved it. Everyday when I got home, his hearding instincts would always kick in and he would run circles around me….through my legs and around my back.

My new home has a dog park right within the community, fully equipped with ramps and tunnels and fully fenced in. Also has a nice little "shower station" to rinse and dry during muddy days.


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: 		Taking them to the 'mistake' and firmly saying "No! Bad dog!" and expressing disappointment in my face and tone. Maybe take them outside depending on the type of mistake. Level of disappointment pending the timing of the event. If caught in the act, maybe a little more drawn out.

Discipline:
 Positive reinforcement for good behavior. Brief shame and disappointment for bad.

Where would Pembroke spend the majority of the time:
 Inside the home with me. I work from home most days.

Discipline:
 Positive reinforcement for good behavior. Brief shame and disappointment for bad.
Where would Pembroke spend the majority of the time: Inside the home with me. I work from home most days.

House dog or outside dog?

 House dog

People at home during the day?
 Yes

Where would dog eat?
 Most likely the kitchen

Where would dog sleep:
 Probably with me but whatever they're comfortable with. My Joey never slept with me for long…he needed his space lol.

Play & exercise:
 Everyday, pending weather

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?
 No, the condo covenants do not prevent me from having a dog.

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?
 Michael Brodersen

Willing to train children?
 Of course!

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, shouldn't be a problem

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}