Untitled_2192 - Lakeshore Pembroke Welsh Corgi Rescue

Date & Referral Source
State:		Date of Application:	01/17/2019	Referred by:	Website
Contact Information
First name:		Last name:		First name 2:		Last name 2:
Address
Street:
City:			State:		Zip:
Type of Dog Wanted
Ages interested in:	0 months – 1 year (we rarely get dogs in this age group), 1 year – 3 years, 3 years – 5 years, 5 years – 10 years	Gender preferred:	Either a Male or a Female	Color preferred:	Any color	Activity level:	Couch Potato, Outgoing, Quiet, Playful, Energetic
Other preferences:
Dog Ownership History
Previous dog owner?	Yes
	Dog 1
	Dog 1 name:
	Dog description:
	How long owned?
	Where is this dog now?
	Dog 2
	Dog 2 name:
	Dog description:
	How long owned?
	Where is the dog now?
	Dog 3
	Dog 3 name:
	Dog description:
	How long owned?
	Where is dog now?
	Dog 4
	Dog 4 name:
	Dog description:
	How long owned?
	Where is this dog now?
Questions Regarding Motivation for Adopting and Intentions
Who is this dog for?	The two of us, husband and wife, in our early 60s.
Why do you want a Pembroke?	We had never owned a dog when we found a one-year-old Pem, Jessie, in our county animal shelter 15 years ago. She became a beloved family member, going with us on every vacation and weekend outing. She helped raise (read "herd") our sons. She was loyal without being clingy, active without being hyper-active, affectionate but also aloof. She was smart and almost psychically attuned to me (the mom). When we had to put her down at almost 16 years old in July, we lost a part of us.
Activities planned with Pembroke:	When Jessie was young, I taught her to do agility trials, just to keep her mind active. With the right dog, I might do that again. When she was older, Jessie and I became a certified dog therapy team with West Michigan Therapy Dogs. I would definitely do that with another dog, visiting hospitals, nursing homes, etc. Daily, I walk on the campus of the next-door college and its open fields. I love to walk and look forward to walking with a dog again.
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:
Will handle mistakes Pembroke makes like this:	Gentle redirection, rewarding (with a treat) correct behavior. For example, if the dog pulls on the leash while walking, we simply return to start. We start again, but return if the dog pulls. When the dog walks quietly at heel she/he gets a treat.
Discipline:	Positive reinforcement, usually with a food treat.
Where would Pembroke spend the majority of the time:	In our house, with me. She/he would have free run of the whole house. I walk three times a day, and she/he would go with me.
Discipline:	Positive reinforcement, usually with a food treat. Where would Pembroke spend the majority of the time: In our house, with me. She/he would have free run of the whole house. I walk three times a day, and she/he would go with me.
House dog or outside dog?	House dog
People at home during the day?	Yes, I'm a freelance writer at home all day. I love to have a dog in my home office with me and walking with me during work breaks (before breakfast, at lunchtime, after dinner).
Where would dog eat?	We put Jessie's dog bowls in the dining room, just a couple of feet from our dining table.
Where would dog sleep:	In a soft, portable dog bed. We would see in which room he/she liked to be at night and move the bed there. Jessie slept beside our bed, in our bedroom.
Play & exercise:	We have a large back yard where I have (when Jessie was young) set up an agility course. I walk two or three times a day and would take the dog with me — usually to the next-door college campus or to the large, enclosed college athletic fields where he/she could run off leash.
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:	Own home
Landlord info:
May we contact your landlord?
Lease allow dogs:
Landlord permission:
Restrictive covenants?	Not applicable
Breed/size restrictions?	No
Description of yard:	Large, suburban yard, with a small woods at the back. College athletic fields behind our small woods. The yard is not fenced, but we have used a long tie-out in the back yard when we were in the yard with our dog. When she was older, there was no need for even a tie-out. She stayed with us in our yard when we were out.
Household members:
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?	Gayle Boss
Willing to train children?	We are empty-nesters with no grandchildren — yet.
Any allergies?	No one is allergic.
Current pets:
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?	Yes, of course.
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: