Untitled_4138

State: {Applicant State:2} Date of Application: 03/05/2022 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), 1 year – 3 years
Gender preferred:
Either a Male or a Female
Color preferred:
Any color
Activity level:
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?

My Husband and I. Hannah and William.

Why do you want a Pembroke?
We are a very active family that wants a playful and energetic companion. We love being outdoors and our puppy would never be home alone for more than 3 hours at a time. We have always loved corgis and we have our heart set on adding a corgi to our family but we feel very strongly about adopting rather than going through a breeder to give a dog in need a loving and active home.

Activities planned with Pembroke:
We live one block from Lincoln park throughout the year and in the summer we live at a summer camp on 300 acres. This dog will have more land and love than they will know what to do with. Our plan is that our dog will go with us everywhere.

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:
We both have a background of working with kids and are extremely patient no matter who we are interacting with. Positive reinforcement is the most important skill to master when caring for a dog and we are very well trained in all aspects of behavior management. If a dog makes a mistake it is important to redirect rather than punish or shame. We will train our puppy with kindness and understanding while setting firm boundaries to encourage positive behavior.

Discipline:
We would discipline our dog by replacing bad habits with good ones while redirecting negative behaviors. We firmly believe that dogs should never be punished and even if they do something wrong we do not train with negative reinforcement or isolation.


Where would Pembroke spend the majority of the time:
Our Pembroke would spend most of their time in our home or outside doing activities with the two of us. One of us is home a majority of the time and our puppy would never be alone for more than an hour or two at a time on any given day.

Discipline:
We would discipline our dog by replacing bad habits with good ones while redirecting negative behaviors. We firmly believe that dogs should never be punished and even if they do something wrong we do not train with negative reinforcement or isolation.
Where would Pembroke spend the majority of the time: Our Pembroke would spend most of their time in our home or outside doing activities with the two of us. One of us is home a majority of the time and our puppy would never be alone for more than an hour or two at a time on any given day.

House dog or outside dog?

House dog

People at home during the day?
Yes my husband works from home during the week and we don’t do anything on the weekends that would not be dog friendly. We spend most of our free times taking walks, exercising, and spending time at home together.

Where would dog eat?
They would have a good set up in our dining room or our kitchen.

Where would dog sleep:
For the first few months we would want to crate train our corgi. Once comfortable in a crate we would most likely have our puppy sleep in our bedroom either at the foot of our bed or in a dog bed.

Play & exercise:
We are fortunate to have the time in our day to spend as much time as possible with our dog. We are very active, live one block from Lincoln park in Chicago, and we would take our corgi on at least two long walks a day. We also have outdoor space at our condo that would be perfect for lounging in the sun.

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

Breed/size restrictions?
No

Description of yard:

We have outdoor space with patio furniture and a grill that is always unplugged unless in use.

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?
Hannah and William equally

Willing to train children?
We do plan on having children for many years at which time they will be raised around animals and taught the importance and value of all animals.

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?


Are you willing to work on it if your new dog doesn’t get along with your current pets right away?
This dog will be our primary concern. Any problem will be resolved.

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}