Untitled_4070

State: {Applicant State:2} Date of Application: 11/29/2021 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:
1 year – 3 years, 3 years – 5 years
Gender preferred:
Female
Color preferred:
Any color
Activity level:
Outgoing, Playful, Energetic, Very Active, Other (Please describe in the box below.)

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 and my partner

Why do you want a Pembroke?
We have several corgis in our neighborhood and my partner has always loved corgis. They pack a lot of personality into a little package. The corgis in our neighborhood are friendly and curious, always looking to run around with (and boss around) our dog. We are looking for a smaller, intelligent breed that can be active and playful. We’d like a corgi but also decided that our next dog would be a rescue as our first came from a breeder.

Activities planned with Pembroke:
Walks, short runs, dog park, hiking in forest preserves, road trips and camping. We like to sit with our dog on the couch at the end of the day and wind down as a family. Our corgi would also spend the day with Winston and we’d like to leave them to play together as well.

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 trained our dog using positive reinforcement and verbal corrections. If we catch her doing something she is not supposed to be doing, like eating a sock, we say ‘no’ or ‘leave it’ and take it away from her. If we don’t catch her in the act, we don’t correct her as she likely won’t connect the correction with the action. For potty training, if she started to go in the house, we’d say “hey” and pick her up and go outside. Again, if we didn’t catch her, we didn’t correct her.

Discipline:
Positive reinforcement and verbal corrections. We found it more helpful to reward good behavior than punish bad behavior.


Where would Pembroke spend the majority of the time:
In our house. We used a crate for bedtime until our dog could be trusted to sleep outside of it but she was/is outside of the crate for most of the day. I work from home full time and my partner works from home part time so our corgi would be able to roam (depending on her age) along with our dog.

Discipline:
Positive reinforcement and verbal corrections. We found it more helpful to reward good behavior than punish bad behavior.
Where would Pembroke spend the majority of the time: In our house. We used a crate for bedtime until our dog could be trusted to sleep outside of it but she was/is outside of the crate for most of the day. I work from home full time and my partner works from home part time so our corgi would be able to roam (depending on her age) along with our dog.

House dog or outside dog?

House dog

People at home during the day?
Yes, I work from home full time and my partner works from home part time.

Where would dog eat?
In the kitchen.

Where would dog sleep:
Depending on her age, she’d either sleep in a crate in the living room or have her choice of the kitchen/living room to roam at night.

Play & exercise:
We currently take our dog on about 3 30-40 minute walks per day. We play with her during the day and go to the dog park on the weekends if the weather is nice. We’ve also started doggie daycare 1x per week to help with socialization.

How will you exercise your dog?
On leash

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:

We have a swimming pool that is separated from the backyard by a fence. We have a large backyard that is otherwise not fenced 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?
Cory and Richard

Willing to train children?
We do not currently have children but if we did, we would certainly take the time.

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}