Untitled_4099

Applicant IL
State: {Applicant State:2} Date of Application: 01/12/2022 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)
Gender preferred:
 Male
Color preferred:
 Red & White, Sable & White
Activity level:
 Couch Potato, Outgoing, Quiet, Playful

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?

 Me

Why do you want a Pembroke?
 I have always wanted a dog and came from a household that didn’t want one. I love them so much and I think corgi is perfect for my daily life. I’m a super energetic person and I would love a very bubbly, caring, intellectual dog by my side. Any opportunity for me to take care of a dog I’ll do and put my whole heart in it. I know that they are incredible with kids and that they are just so sweet to everyone around them. I know they do experience some health issues if not properly cared for, especially back issues.

Activities planned with Pembroke:
 Walks and constantly petting. I am going to be moving to texas a couple of months after so I can go hiking with him. Go to dog parks. And even take him to travel anywhere I would go. He’d be my best friend

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: 		I would be calm. I wouldn’t want him to freak out or create a negative relationship with me. So I would tell him that task was not good. Maybe take away toys for a while. But teach him about the right way to do it and give treats to reinforce

Discipline:
 I think time outs are nice. Put him in the kennel for a bit and then not too long later let him out. I would just not give him attention as well for him to know that this behavior is not going to give him play time with me

Where would Pembroke spend the majority of the time:
 He would spend it in my apartment. I am going to be getting a big place when I leave for texas. And I will be at my family home during his early months. My boyfriend is going to be living with me and has a different schedule than me so he’s going to have someone with him usually

Discipline:
 I think time outs are nice. Put him in the kennel for a bit and then not too long later let him out. I would just not give him attention as well for him to know that this behavior is not going to give him play time with me
Where would Pembroke spend the majority of the time: He would spend it in my apartment. I am going to be getting a big place when I leave for texas. And I will be at my family home during his early months. My boyfriend is going to be living with me and has a different schedule than me so he’s going to have someone with him usually

House dog or outside dog?

 House dog

People at home during the day?
 Not in the long term. But for the first 6-8 months, there will be a person at home all the time

Where would dog eat?
 At my home or apartment kitchen or bathroom

Where would dog sleep:
 On a dog bed near my bed or in the living room

Play & exercise:
 I will be able to take him to dog parks and even to near by fields. Both places I am is a great residential area with lots of dog areas and parks

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:
 Both

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?
 No, the condo covenants do not prevent me from having a dog.

Breed/size restrictions?
 No

Description of yard:

 Lots of greenery and plans. A plant fence like border around the house. Huge field in the back yard. And no real dangers around

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?
 Rutvishri jatla

Willing to train children?
 Yes

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}