Untitled_3772

Applicant IL
State: {Applicant State:2} Date of Application: 04/27/2021 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:
 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, 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
I recently lost my Corgi male to cancer & have been lost without him. Corgis are fantastic companions.

Why do you want a Pembroke?
 I have had PWC’s in the past & have enjoyed all of the personality quirks of the breed – loyalty, intelligence, their smile, friendliness, easily trained, wanting to please/be with their human, & silliness. The size is just right. I have had other breeds in the past, but nothing compares to a PWC. As I stated earlier, I recently lost my 11 year old Corgi to cancer. He had been with me since puppyhood, I decided that if I were to get another Corgi, I would rather rescue a PWC as many of these wonderful dogs are in need of a good home.

Activities planned with Pembroke:
 As I live on a farm there are lots of things for us to do – walking, gardening, going for rides around the farm, going on errands, etc. I am looking for a companion, so that is what he will be.

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: 		With a firm no, then either removing him from the situation or doing a quick retraining moment. Yelling & hitting a Corgi only serves to break his trust.

Discipline:
 Positive re-enforcement – whenever he exhibits behavior that ensures his safety & well-being or behavior that shows that he is a good member of the family, that behavior will be acknowledged. Depending on the age & previous training of the Corgi that acknowledgement could be verbal or edible.

Where would Pembroke spend the majority of the time:
 He would either be with me in the house or outside in the yard. If outside, he would be supervised until he learns his perimeters. Learning his boundaries will be one of the first behavioral trainings that we would begin.

Discipline:
 Positive re-enforcement – whenever he exhibits behavior that ensures his safety & well-being or behavior that shows that he is a good member of the family, that behavior will be acknowledged. Depending on the age & previous training of the Corgi that acknowledgement could be verbal or edible.
Where would Pembroke spend the majority of the time: He would either be with me in the house or outside in the yard. If outside, he would be supervised until he learns his perimeters. Learning his boundaries will be one of the first behavioral trainings that we would begin.

House dog or outside dog?

 House dog

People at home during the day?
 Yes – me.
I am also recently widowed as well as retired. He will rarely be left at home alone. If he is left, it will be in the house.

Where would dog eat?
 In the kitchen

Where would dog sleep:
 My Corgi have a bed on the floor next to me. I am not a big fan of dogs in their human’s bed.

Play & exercise:
 When I go out, he goes out. There will be lots of opportunities for walks. As soon as I figure out if he likes to chase balls or anything else that he finds safely entertaining, we will add that to his playtime. As I indicated previously, until he knows his boundaries, I will be supervising his outdoor time. Spending time with him teaching those boundaries will be started during his first days living with me. Knowing that he knows his boundaries is very important to me

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

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?
 Not applicable

Breed/size restrictions?
 No

Description of yard:

 Typical yard in the country, lots of vegetation that is dog & child friendly & very little vehicle traffic in & out of premises.

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?
 That would be me

Willing to train children?
 My grandchildren are of the age that this is not of concern, they have there own puppy.

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?
 NA

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}