Untitled_4042

Applicant IL
State: {Applicant State:2} Date of Application: 11/23/2021 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
Gender preferred:
 Female, Either a Male or a Female
Color preferred:
 Red & White, Red Headed Tri, Black Headed Tri, Sable & White, Any color
Activity level:
 Couch Potato, Outgoing, 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?

 The corgi is for the both of us. We have one Boston terrier named Groot and we are looking to add a corgi to our family. I grew up with corgis and feel comfortable being a corgi mom.

Why do you want a Pembroke?
 I love corgis because I grew up with them. My mother and father typically would have 2-3 corgis at a time. I love how sassy their personalities are and their small little legs. I love how smart corgis are and how affectionate they can be when you’re having a bad day.

My mother still has 3 corgis named Lola,Libby, and Aprile. I consistently go over and spend time with them with our Boston terrier who loves them too.


Activities planned with Pembroke:
 We would go on walks, play outside in our fenced in yard, I have a bark box subscription to spoil my pup with toys. We would play with toys alot. I would also utilize our daycare/ training just down the road called, The Woof.

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 would try to use positive reinforcement for the proper response. No yelling or anything when they make a mistake because chances are they will not understand why I’m upset.

Discipline:
 Positive reinforcement with a hierarchy of reinforcement (ie.Treats,toys,etc.)

Where would Pembroke spend the majority of the time:
 At our home

Discipline:
 Positive reinforcement with a hierarchy of reinforcement (ie.Treats,toys,etc.)
Where would Pembroke spend the majority of the time: At our home

House dog or outside dog?

 House dog

People at home during the day?
 Yes and no – Derek and I both have jobs that allow us to make our own schedules so we pretty much coordinate to be home in shifts so our current pup, Groot isn’t by himself for a long period of time.

Where would dog eat?
 In our kitchen – we have a good station for Groot right now.

Where would dog sleep:
 Either in their crate, in a nice dog bed, or for movie nights cuddled up with us in our bed

Play & exercise:
 They would have our fenced in yard. We would also bring them to doggy daycare if we expect to have a longer day.

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 metal fence probably bigger than 4 feet. Huge yard.

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:

 Our yard is a huge fenced in yard. We have a nice back porch which has steps down to our yard. We have a lot of trees that provide a lot of privacy from our neighbors too. No extra 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?
 Annie Weeden

Willing to train children?
 Yes, but we don’t have kids

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

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, [email protected], friend.:87}