Untitled_3779

Applicant IL
State: {Applicant State:2} Date of Application: 04/30/2021 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:
 Red & White, Red Headed Tri, Black Headed Tri, Sable & White, Any color
Activity level:
 Couch Potato, Outgoing, Quiet, Playful, Energetic, Very Active

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

Why do you want a Pembroke?
 Myself and my fiancé have always loved corgis and always wanted one. We have friends that have them and they are lovable great dogs and exactly what we are looking for. We love the cute short stubby legs too (:

Activities planned with Pembroke:
 Ultimately whatever the doggy enjoys. I’d take him/her on walks to keep him/her healthy and in shape. I’d go on walks, take to the park. Have lots of chill days at home and play with him/her in the backyard.

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: 		It depends on the situation. I would never hit my dog. In the past I have put my dog in a “time out” and have put in the cage for a little bit of time. I will tell the doggy “no” to what he/she has done. Over time they learn what is good and bad.

Discipline:
 Putting in a cage for a short amount of time.
Firmly telling the doggy “no” when it’s doing what he/she shouldn’t be doing.
In the past I have just picked up my dog and held him when he’s doing something he should be be doing. That usually gets his mind off of what he shouldn’t have been doing.

Where would Pembroke spend the majority of the time:
 Depends if the doggy is an active one or a lazy one.
If he or she is active they can run around the house and backyard. If they are lazy they can lay on my bed or couch or doggy bed all day.

Discipline:
 Putting in a cage for a short amount of time.
Firmly telling the doggy “no” when it’s doing what he/she shouldn’t be doing.
In the past I have just picked up my dog and held him when he’s doing something he should be be doing. That usually gets his mind off of what he shouldn’t have been doing.
Where would Pembroke spend the majority of the time: Depends if the doggy is an active one or a lazy one.
If he or she is active they can run around the house and backyard. If they are lazy they can lay on my bed or couch or doggy bed all day.

House dog or outside dog?

 House dog

People at home during the day?
 Yes. My father is retired and home all day.

Where would dog eat?
 At his food bowl in the kitchen.

Where would dog sleep:
 Wherever he or she likes. Hopefully with me on the bed or on a doggy bed. Ultimately wherever the dog wants.

Play & exercise:
 Absolutely. I will be happy to take the dog on plenty of walks to the park and to play with him or her in the backyard.

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?
 It’s a wooden fence that covers my entire backyard.

Living arrangements:
 I live with my father and do not pay rent.

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:

 We have a fenced backyard that has a garage and shed in it. Plenty of room to run around and exercise.

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?
 Myself, Brett Neitzke

Willing to train children?
 Absolutely. I do not have children right now.

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, my pug is so lazy and very submissive so all dogs get along with him so far.

My cat usually avoids the dogs and does his own thing. I have caught them sleeping together which is super cute though.

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}