Untitled_3776

Applicant IL
State: {Applicant State:2} Date of Application: 04/29/2021 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, 5 years – 10 years, 10 years +
Gender preferred:
 Male
Color preferred:
 Red Headed Tri, Black Headed Tri, Any color
Activity level:
 Couch Potato, Outgoing, Playful

Other preferences:
 We have a 4 year old chihuaha, rat terrier, bunch of other stuff mix. She likes to play, chase, and be chased. She gets along much better with male dogs.

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?

 We are interested in a corgi for our family.

Why do you want a Pembroke?
 Every corgi I have met – at the dog park, on the street, etc. – seems to have a friendly demeanor. At the dog park, I have seen them play well with our dog.

Activities planned with Pembroke:
 We would go for walks, bike rides, hang out at the dog park, take naps together, and take them with us wherever we could.

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: 		Redirection, but also depends on what it is. If they have an accident in the house, we would immediately take them outside for a walk.

Discipline:
 We use treats to reward good behavior. Sad, disappointed looks also work with our dog. Sometimes we will do a change of scenery as a means to distract.

Where would Pembroke spend the majority of the time:
 Our family spends most of our time on our second floor (we live in a townhouse). During the day when my husband is working, they would be downstairs on the first floor with him. The dogs would sleep with one of the kids, who are in middle school.

Discipline:
 We use treats to reward good behavior. Sad, disappointed looks also work with our dog. Sometimes we will do a change of scenery as a means to distract.
Where would Pembroke spend the majority of the time: Our family spends most of our time on our second floor (we live in a townhouse). During the day when my husband is working, they would be downstairs on the first floor with him. The dogs would sleep with one of the kids, who are in middle school.

House dog or outside dog?

 House dog

People at home during the day?
 Yes, my husband works from home.

Where would dog eat?
 On the second floor where we eat and mostly live.

Where would dog sleep:
 They would sleep in a room with one of our middle school aged children.

Play & exercise:
 We would do two long walks (about 30-45 min each), two short walks. When weather permits, we would go to the dog park so they could run around freely.

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

Breed/size restrictions?
 No

Description of yard:

 We do not have a fenced in yard, but have some rooftop space and a tiny front yard. We would never, however, leave our dogs in either alone.

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?
 All of us.

Willing to train children?
 Yes, our children are very good about feeding the dog and doing the two short walks at the very beginning of the day and after school. Sometimes they do the long walk with our dog.

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, but we are specifically asking for a male dog because we have learned from fostering female dogs that our Peggy wants to be the only girl.

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}