Untitled_4017

Applicant IL
State: {Applicant State:2} Date of Application: 11/03/2021 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:
 Male
Color preferred:
 Any color
Activity level:
 Couch Potato, Outgoing, Quiet, Playful, Energetic, Very Active

Other preferences:
 Would be a good dog for the AKC Canine Good Citizen training.

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?

 Jeff and Heather Briggs

Why do you want a Pembroke?
 My last dog, Rascal, was a corgi mix. I adopted him from the local SPCA when he was 10 years old and he quickly became my best friend. He was very loyal and would never leave my side. Suffering from an anxiety disorder I found I was more comfortable when out walking with him because he was very social. People would stop and start a conversation because of him. He helped me come out of my shell. These two traits I want in my next dog. In addition I want to train this new dog by taking and passing the AKC's CGC test. Corgis I know are a smart breed who love to work and feel they are perfect for this. Passing this test would improve my confidence but also open the door to more activities.

Activities planned with Pembroke:
 Besides the basic play around the home we have a nature preserve next to where we live that we frequent. There are also other trails and parks in our area that we visit. Also, as mentioned above, I hope to take and pass the CGC test.

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: 		I walk up to the dog and firmly say no and let them know that I'm disappointed. If the mistake is making a mess in the house I would follow that up with taking them outside.

Discipline:
 We use a time-out method. We make the dog sit and stay until we release it. We also speak to it in a disappointing tone of voice.

Where would Pembroke spend the majority of the time:
 Depends on the time of year. On average our dogs are outside 25-30% of the day. When they are outside they are always supervised.

Discipline:
 We use a time-out method. We make the dog sit and stay until we release it. We also speak to it in a disappointing tone of voice.
Where would Pembroke spend the majority of the time: Depends on the time of year. On average our dogs are outside 25-30% of the day. When they are outside they are always supervised.

House dog or outside dog?

 House dog

People at home during the day?
 I'm home all day.

Where would dog eat?
 The dog will eat in our house in an area that is designated for them to eat.

Where would dog sleep:
 Depending on their age, it could be a crate if they are being crate trained. Otherwise we provide multiple dog beds around the house.

Play & exercise:
 The dog will have many opportunities for play and exercise. Not only from random times through out the day, but also when we head out to the trails or running errands.

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:
 We own a manufactured home, but pay rent on the lot it sits on.

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:

 We have a large deck and a detached garage.

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?
 Jeff Briggs

Willing to train children?
 My children are all over 18. They have already been taught.

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 won't give up on a dog.

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}