Untitled_2341 - Lakeshore Pembroke Welsh Corgi Rescue

Date & Referral Source
State:	{Applicant State:2}	Date of Application:	04/15/2019	Referred by:	Website
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:	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:	Outgoing, 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?	Both of us. We are dog people with no children and are looking to welcome a new Pembroke into our home.
Why do you want a Pembroke?	We love the breed. The size, personality, and energy level of a PWC is ideal to what we seek in a dog. I like a dog who can be comfortable on my lap (small enough), but has a big dog attitude. We have had a PWC before, and I cannot imagine having a dog who more perfectly suited us. His are big shoes to fill, but we are ready to fill the void left by his passing. Our male PWC, Coda, was adopted as a rescue in 2011 after an owner surrender. He went hiking with us in the mountains of South Dakota and North Carolina, herded a basketball around our backyard, and loved his people. He was happy doing anything with us as long as we kept him active and engaged.
Activities planned with Pembroke:	Hiking our 20 acre property, herding a basketball around the yard (if the Corgi takes to the activity like our last PWC did), vacationing in hiking/mountain areas, walking on local trails. Obedience training – both for overall obedience and for the mental stimulation that comes from performing tasks on command.
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:	Correction. Previous obedience training utilized immediate use of "shame on you" phrase and gentle correction.
Discipline:	Previous obedience training utilized immediate use of "shame on you" phrase and gentle correction. This yielded good results with our last Pembroke.
Where would Pembroke spend the majority of the time:	Inside the house our outdoors with us.
Discipline:	Previous obedience training utilized immediate use of "shame on you" phrase and gentle correction. This yielded good results with our last Pembroke. Where would Pembroke spend the majority of the time: Inside the house our outdoors with us.
House dog or outside dog?	House dog
People at home during the day?	No
Where would dog eat?	In the kitchen.
Where would dog sleep:	In a bed (crate) in or near our small bedroom, very close to us
Play & exercise:	Daily walks/hikes, herding, etc.
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:	{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 live in a small, single level home on 20 acres. There is a 2 acre yard, shallow pond, corn field, and woods. We do not have any fenced area currently, but may consider fencing a small area of the yard if our new pet would benefit from the enclosed space.
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?	Anji Britten
Willing to train children?	We do not have children, but we have nieces and a nephew who spend time at the house. They have been trained on how to behave around our dog in the past and will learn appropriate care and treatment of our new dog as well.
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?	We do not have other pets and don't intend to have any. If we ever change our minds on that, we would work to resolve problems.
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}