Untitled_3857

Applicant IL
State: {Applicant State:2} Date of Application: 07/01/2021 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, 3 years – 5 years
Gender preferred:
 Either a Male or a Female
Color preferred:
 Red & White, Red Headed Tri, Black Headed Tri
Activity level:
 Couch Potato, Outgoing, Quiet, Playful, Energetic

Other preferences:
 Must be good with children, & a kitty.
(I have 3 young grandchildren that I would love for a dog to be loved by too).

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?
 I have only researched the breed, & have known one wonderful corgi through a friend. The breed seems gentle, easily trained, smart, fun loving. I would like to have a corgi trained to be able to go with me as a calming/emotional support service dog to visit with my sweet clients, & possibly enter hospital's to visit people who may want some soft cuddles…

Activities planned with Pembroke:
 Long walks in the woods. Parks with my grandchildren. Having the dog play with balls, toys, & enjoying each other. Lots of snuggle's . My grandchildren and I love obstacle courses, playing outside, water play, fall leaves, snow, all fun things a pup would enjoy. I would love to enroll a dog; (corgi) in the emotional support classes for dogs. I believe a corgi pup/dog would be a great fit. I really love animals ❤️. I have had dogs all my life, & really enjoy them. I have dog parks nearby, & plenty of places to walk.

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: 		I am not sure what mistake you mean, but if it's potty training, just take the dog out more often. If it's something chewed, it was my mistake for leaving it in reach. I don't discipline a dog, I will just be careful not to leave anything that he or she could get hurt by, or anything that isn't a toy for the dog. Mistakes happen to all of us. I will do my very best to keep a dog safe, healthy, & happy. I would take the object away that the dog shouldn't have and give him or her a toy or safe chew item.

Discipline:
 I don't reward bad behavior, and also don't give attention to it. I do reward good behavior; such as in training, a tiny piece of chicken, or favorite treat. Pat, or hug, say good job, & name of animal.

Where would Pembroke spend the majority of the time:
 The Corgi dog would spend most time with me. I will have a seat belt for the dog in car as well.

Discipline:
 I don't reward bad behavior, and also don't give attention to it. I do reward good behavior; such as in training, a tiny piece of chicken, or favorite treat. Pat, or hug, say good job, & name of animal.
Where would Pembroke spend the majority of the time: The Corgi dog would spend most time with me. I will have a seat belt for the dog in car as well.

House dog or outside dog?

 House dog

People at home during the day?
 No, but I can bring the Corgi dog to my youngest daughter's home when the pup/dog cannot be with me. My daughter works from her home. My 10 yr. old grandson will be there after school as well.

Where would dog eat?
 In the kitchen.

Where would dog sleep:
 In my bedroom. I have a nice crate, bedding. If once the pup/dog is fine at night, then he or she will sleep on a nice soft dog bed in my bedroom, without his, or her crate. (But door to crate will always be left open in case the dog wants to go in.

Play & exercise:
 Walking everyday, with myself, & or my daughter, & my grandchildren with us. (I live 10 min's from my youngest daughter and her family.) We will go to dog parks, training classes, lots of interactive play. Ball, frisbee. Lots of hugs. I can come up with hide n seek games; my other dogs always liked them. My kitty loves to look for his treats. My kitty loves other dogs.

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:
 Rent a condo

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:

 I live in a condo, with plenty of places to walk, a dog park a few minutes away, across from my grandson's private school. No fixtures.

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?
 Pam Fuller

Willing to train children?
 My grandchildren are ages 10 1/2, 10, & 8 1/2 yrs old. They all have been raised with pets. They are all very good with animals. They are kind, caring, compassionate children.

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, of course.

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}