Untitled_2302 - Lakeshore Pembroke Welsh Corgi Rescue

Date & Referral Source
State:	{Applicant State:2}	Date of Application:	03/23/2019	Referred by:	Other
Contact Information
First name:	{First Name:98}	Last name:	{Last Name:97}	First name 2:	{First Name 2:94}	Last name 2:	{Last Name 2:93}
Address
Street:	{Street Address:3}
City:	{City:4}		State:	{State:5}	Zip:	{Zip:6}
Type of Dog Wanted
Ages interested in:	Any age	Gender preferred:	Either a Male or a Female	Color preferred:	Any color	Activity level:	Outgoing, Quiet, Playful, Energetic, Very Active
Other preferences:
Dog Ownership History
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}
Questions Regarding Motivation for Adopting and Intentions
Who is this dog for?	For our family
Why do you want a Pembroke?	We recently moved to Michigan 3 years ago and began looking into which breeds to adopt. We know other families with Corgis, Westies and Scotties and often dog sit when they need to go on vacation. This has also allowed our children to work with a variety of dogs and temperments. We love that these dogs have a big personality in a small package.
Activities planned with Pembroke:	We have a large yard and nearby walking path to walk and ride bikes. We love being outdoors in every season. We also love to camp. We have friends who train dogs to do "barn hunting" and we'd like to see if our next dog would be interested in this too.
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:	positive reinforcement and redirection try to identify the reason for the behavior
Discipline:	positive reinforcement and redirection verbal commands
Where would Pembroke spend the majority of the time:	Inside our ranch house with a choice of going outside from our walk out basement. We live on an acre of land.
Discipline:	positive reinforcement and redirection verbal commands Where would Pembroke spend the majority of the time: Inside our ranch house with a choice of going outside from our walk out basement. We live on an acre of land.
House dog or outside dog?	House dog
People at home during the day?	Yes, my husband and I share a job as co-pastors of a church. We each work half time and trade off each week who is at church more ad which one of us is at home. Our children get home at 4pm from school.
Where would dog eat?	In the kitchen
Where would dog sleep:	Living room or kitchen
Play & exercise:	We have several dog parks in our surrounding cities. We are also in a very walkable area where many people take their dogs with them to public events. The dog would have an acre of land to explore. Our children will be the primary "exercizers".
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?	Chain link on one side of the yard and plastic 5 foot fence around the yard.
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 large pole barn and a chicken coop behind the barn. Our yard is bordered by pine trees and has several large established trees for shade. We also have a tree house and play structure. Our backyard is mostly flat with grass.
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?	Sammy
Willing to train children?	We currently have a cat and 3 chickens. Our children have been regular pet sitters for a few years until we moved to a property that is large enough to have 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?	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?	We would have areas of the house where each animal can go when they want to be with other animals or by themselves.
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}