Untitled_3956

Applicant IL
State: {Applicant State:2} Date of Application: 09/06/2021 Referred by: Friend
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, 5 years – 10 years
Gender preferred:
 Female
Color preferred:
 Any color
Activity level:
 Couch Potato, Outgoing, Quiet, Playful, Energetic

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 (John Phillips)

Why do you want a Pembroke?
 I have owned a corgi for five years and I really enjoy her company. Additionally, my son owns three corgis, one female and two males, and has taken care of them for over six years. Our entire family is partial to corgis and has a collective experience with them that extends over a decade worth of years. We absolutely love our corgis.

Activities planned with Pembroke:
 Walking, going to the park, playing in the back yard, agility training, obedience classes.

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: 		We would firmly tell the dog "No," and work to correct the behavior through positive reinforcement of the wanted behavior, such as giving of treats and praise for doing the correct behavior, but not for the incorrect behavior.

Discipline:
 Stern words and/or a time out in a crate or penned area, if limiting space is called for when working to address an incorrect behavior.

Where would Pembroke spend the majority of the time:
 In or around the house. Someone is almost always home for at least part of the day.

Discipline:
 Stern words and/or a time out in a crate or penned area, if limiting space is called for when working to address an incorrect behavior.
Where would Pembroke spend the majority of the time: In or around the house. Someone is almost always home for at least part of the day.

House dog or outside dog?

 House dog

People at home during the day?
 Yes, for most of the day.

Where would dog eat?
 The kitchen/dining area.

Where would dog sleep:
 In the bedroom or other place in the house. Our current corgi has slept in the bedroom or in another room as she chooses, and the new corgi would be given the choice as well, as long as the dog is behaving well when not directly with any of the owners.

Play & exercise:
 We have a fenced-in back yard, and we take multiple walks per day with our current corgi. While our current corgi is getting up in age and isn't super active, we have neighbors with active border collies who have played with our family's corgis before and can be play companions. And my other son has 3 corgis that are also very energetic and come to visit sporadically as well.

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?
 Wooden slatted fence, and we have not had any of our corgis get out from the fence.

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:

 Fenced-in back yard–no pool–bricked patio, grass, and garden areas.

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?
 John F Phillips

Willing to train children?
 Yes, we would teach any child who comes into our home about how to treat the dogs. We have a couple of friends who have small children, and they have done well with our current 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, we would be prepared for this.

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}