Untitled_3983

Applicant IL
State: {Applicant State:2} Date of Application: 10/01/2021 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:
 Any color
Activity level:
 Couch Potato, Outgoing, Quiet, Playful, Energetic, Very Active

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?

 It would be for myself. I finally got into an occupation that would allow me to have the most time possible with my puppy. Before I used to work pharmacy and had to go in. Now I work from home and have such a lax environment to work in.

Why do you want a Pembroke?
 I love the breed. I love the way they look and the way they can be both calm but also energetic when need be. One of my close friends had one while in his relationship and just loved the way the puppy acted with other dogs and people.

Activities planned with Pembroke:
 Honestly being work from home. I have so much more want to go on walks and just go places. I love playing soccer and would happily always play ball.

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: 		Depending on the mistake. If we are house training we will have to go over the proper methods on if we are doing potty pads or having to go outside. If it’s something that needs to be trained like not biting the couch leg. I would look into safe sprays to deter the puppy from doing so.

Discipline:
 I don’t ever think of ways of disciplining my puppy but I would honestly have to reach out to trainers to better help me because I know bad discipline can result in bad attitude cause by it. It isn’t the puppy’s fault they act a way if treated that way.

Where would Pembroke spend the majority of the time:
 In my home. I have a big living room couch and a nice medium sized one in my office. Depending on how they feel I know they would love to hang out.

Discipline:
 I don’t ever think of ways of disciplining my puppy but I would honestly have to reach out to trainers to better help me because I know bad discipline can result in bad attitude cause by it. It isn’t the puppy’s fault they act a way if treated that way.
Where would Pembroke spend the majority of the time: In my home. I have a big living room couch and a nice medium sized one in my office. Depending on how they feel I know they would love to hang out.

House dog or outside dog?

 House dog

People at home during the day?
 My partner stays with me every once in a while. But just me usually all day in my apartment

Where would dog eat?
 In a set place either in the living room or kitchen.

Where would dog sleep:
 Depending on how I would want to train. I looked up and saw cage training is great to start and then hopefully be able to just have them sleep either on their own bed or my own depending on what they prefer.

Play & exercise:
 I get two breaks and a long lunch during the working day. I will have time to make sure they are okay and don’t need anything during that. And then we will go on a good long walk after work. And play ball in my fenced 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 backyard and the fence is wooden and tall. 6feet. Big area.

Living arrangements:
 Rent/lease 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?
 Yes, you may contact my landlord.

Lease allow dogs:
 Yes, my lease permits dogs.

Landlord permission:
 Yes, my landlord is fine with me owning a Pembroke

Restrictive covenants?
 Not applicable

Breed/size restrictions?
 No

Description of yard:

 I live in a house and rent from my parents. The backyard has an ac unit squared away in one corner. A tree in the opposite corner and fenced in. The garage is at the end of the yard. So it’s all boxed in.

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?
 Juan Ascencio

Willing to train children?
 Don’t have children but have nieces and nephews. I am willing to put in the time to explain how to treat the puppy and make sure they are okay.

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?
 N/A

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}