Untitled_3013

Applicant IL
State: {Applicant State:2} Date of Application: 05/19/2020 Referred by: Friend
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
Color preferred:
 Red & White, Sable & White
Activity level:
 Couch Potato, Outgoing, Quiet, Playful, Energetic

Other preferences:
 We do walk 3 to 4 miles 3 to 4 times a week when weather is nice. We have a husky-proof large back yard (privacy fenced). We have our daughter and son living at home while working to pay off their college loans. My son has 1 Bengal cat (smaller male) that is 5 years old (Snickers). Snickers loves other pets and walks on a leash with harnesses. We had Mia (our Belgian Trevurn) when we brought Snickers in as a kitten & had an older male cat as well (Tommy is now gone too about 3 years ago).

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 2 of us. We own our own home. Our last friend passed away 4 years ago. She was 13 (Belgian Trevurn from West Michigan Humane Society at 6 months). Over the last 30 years we've had 3 Siberian Huskies. Before children we were involved with the West Michigan Agility Club and dabbled in obedience too (with the Huskies). Now that we're older would like a smaller dog. We've been to several community Corgi event in the Grand Rapids area and have spoken with several breeders. We are not in a position to pay $1,500 or more at this time in our lives. We've been checking our local shelters for a few years but only finding big dogs and lots of put bulls.

Why do you want a Pembroke?
 We loved our Huskies but want something smaller now that were older. A Corgi is a big dog in a smaller package. We still are active and have visited a breeder and have meet multiple owners and their corgis at several community Corgi events in the Grand Rapids area.

Activities planned with Pembroke:
 Walking, attending community Corgi events in our area. We have lake camp association membership at Sandy Pines in West Michigan. Walks ice cream trips, golf cart rides & more.

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: 		Stern voice correction with positive reinforcement for correct behavior.

Discipline:
 Stern voice, leash and crate training with lots of positive reinforcement for good behavior.

Where would Pembroke spend the majority of the time:
 In the house and with us.

Discipline:
 Stern voice, leash and crate training with lots of positive reinforcement for good behavior.
Where would Pembroke spend the majority of the time: In the house and with us.

House dog or outside dog?

 House dog

People at home during the day?
 Yes at different times. Might be 3 to 4 hours alone but we have a kennel attached to garage (6x10x6) with dig door and 4×5 indoor section with food and water.

Where would dog eat?
 It depends on what it has been eating as long as it's a healthy choice.

Where would dog sleep:
 On a pet bed in our bedroom (on floor).

Play & exercise:
 Take her with us on our walks. Take her for car rides, to parks and anytime we can. Play in the yard & in the house.

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?
 Privacy fence except 1 side is chain link.

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:

 No pools, no more play sets- kids are now adults. Have deck & shed. 1 maple tree in back yard & 1 small evergreen tree (Pablo) in the front yard.

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?
 Michele Pierson

Willing to train children?
 No children. Already went through all that when mine were younger.

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, marys@gmail.com, friend.:87}