Untitled_3864

Applicant IL
State: {Applicant State:2} Date of Application: 07/05/2021 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:
 3 years – 5 years, 5 years – 10 years
Gender preferred:
 Either a Male or a Female
Color preferred:
 Any color
Activity level:
 Other (Please describe in the box below.)

Other preferences:
 There is one cat living in the house, so she will need a dog that doesn't mind cats. She lives in a mobile home but has a small yard and a big back field with a pond where the dog can run and play. Because she is in a mobile home area, there are a fair amount of people around. She would need a dog that doesn't mind other people and potential run ins with other dogs. She would be happy to take the dog with her in the car (the few times she goes places) if the dog likes cars, but if not, she is at home mostly so the dog would rarely be alone.

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?

 My grandmother. She lost her previous dog a few years ago and her husband recently and is ready to get another furry companion!

Why do you want a Pembroke?
 I (Molly) who is filling out this application for my grandmother, have a Pembroke Welsh Corgi. I got him at 8 weeks old and he is nearly a year old now. He has been a wonderful companion and has an amazing personality! I did a lot of research on the breed prior to getting one to be sure that my lifestyle fit the dog as well as the dog's lifestyle fitting me. I also have spent considerable time around corgis as I have a friend who is a breeder. I've interacted with newborn corgis up to corgis a few years old. One at a time up to 5 at a time. I have good faith that the right corgi could be a wonderful companion for my grandma. She has had dogs most of her life and she is a fantastic pet owner. She has always taken care of her dogs and watched out for them even better than herself. She loves her pets and spoils them, but only to the point of it being a good thing. Her dogs have never been overweight or unhealthy. She has kept up with vaccinations and annual vet visits also. She has even made difficult choices for her dogs' end of life care to ensure that the do not suffer. This dog will be the center of her world and she would love nothing more than to love it, play with it, and give it the best life!

Activities planned with Pembroke:
 Fetch, walks, swimming, indoor play such as tug of war and chew toys, some interaction with children when her grandchildren and great grandchildren visit

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: 		My grandma is firm but kind. She uses a stern tone to tell the dog "no" but never hits or pulls the dog. She also usually has the dog toy basket in the living room so it is close by for redirection.

Discipline:
 Stern commands, but NO physical contact such as hitting or spanking
Small time outs if the dog is getting overwhelmed or rough during play
Redirection

Where would Pembroke spend the majority of the time:
 In the home/outside in the yard

Discipline:
 Stern commands, but NO physical contact such as hitting or spanking
Small time outs if the dog is getting overwhelmed or rough during play
Redirection
Where would Pembroke spend the majority of the time: In the home/outside in the yard

House dog or outside dog?

 House dog

People at home during the day?
 My grandma only goes out to run specific errands. She is home most of the time. The dog would almost never be alone

Where would dog eat?
 We would probably continue with what this rescue is feeding the dog first until he/she gets used to the home. Then it would be up to my grandma if she would want to switch food.

Where would dog sleep:
 Probably in the bedroom on a dog bed next to my grandma.

Play & exercise:
 Walks around the trailer park and out to the pond. There is a big field with a walkway out to a little pond right behind my grandma's house that they have always used as a dog walk/exercise area. If the corgi likes water, he/she is also able to swim in the pond. The field is large enough for running and playing fetch. A lot of the family members have dogs and/or children that would also love to play with her dog. She has many visitors because we all help her with errands and keeping up with the house.

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:

 Small yard, but right behind the house is a large field and a pond. Yard is large enough for bathroom and some 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?
 Delores Cantrall

Willing to train children?
 Any children that are around would be grandchildren/great grandchildren. Yes, she has always been very good about helping young kids learn how to be gentle and play with animals.

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. This cat has lived with their previous dog and had no issues, but she will help them get along in any way she can

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}