Untitled_3832

Applicant IL
State: {Applicant State:2} Date of Application: 06/11/2021 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, Quiet, Playful, Energetic

Other preferences:

Previous dog owner?
 No
 
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?

 My family. We are a family of three. Mom, Dad and a girl who turns 6 on 6/18/2021.

Why do you want a Pembroke?
 Corgis are a breed that I've loved from afar for MANY years. Their friendly, outgoing personalities are a major draw for me. I love they they are playful and active and I also think they are a great size. My daughter is very interested in a playful dog as well. I also like that they are intelligent and train-able we would definitely have some rules for the Corgi to follow and training would be important to us (not jumping on visitors, staying off of certain furniture, listening to commands – not bolting into traffic…)

Activities planned with Pembroke:
 Walks, jogging (maybe? if appropriate?). I run 2x a week and could definitely give the Corgi great exercise. We have a great front and back yard where we could play fetch and just generally chase and play with the corgi as well.

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?

 No

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: 		Eye contact, a loud, firm NO and gentle direction to the correct behavior.

Discipline:
 Reward positive behavior with affection, treats, play, attention. Correct bad behavior when it occurs and BE CONSISTENT with the messages we are sending the dog.

Where would Pembroke spend the majority of the time:
 Inside the house with us – in the family room while we play games, watch TV. I work from home so the dog could be in my home office with me as well.

Discipline:
 Reward positive behavior with affection, treats, play, attention. Correct bad behavior when it occurs and BE CONSISTENT with the messages we are sending the dog.
Where would Pembroke spend the majority of the time: Inside the house with us – in the family room while we play games, watch TV. I work from home so the dog could be in my home office with me as well.

House dog or outside dog?

 House dog

People at home during the day?
 Yes

Where would dog eat?
 Kitchen

Where would dog sleep:
 Either my daughter's room or the Family Room (dog bed).

Play & exercise:
 We would ensure that he or she got outside at least once a day for play and exercise (this would be in addition to just getting outside for potty breaks). Walks in the neighborhood, jogs, walks to the park, walks to pick up/drop off our daughter at school. Play in the background with our daughter.

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:

 No swimming pool. Front yard is grass, flower beds, sidewalk. Back yard is mostly grass with a play structure flower beds. Back yard is fenced on three sides (not fully fenced).

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?
 Amanda Dies

Willing to train children?
 Yes.

Any allergies?

 One or more family members might be allergic to dogs.

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?
 Not applicable

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}