Untitled_1406 - Lakeshore Pembroke Welsh Corgi Rescue

Date & Referral Source
State:		Date of Application:	09/19/2017	Referred by:	Other
Contact Information
First name:		Last name:		First name 2:		Last name 2:
Address
Street:
City:			State:		Zip:
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:	Couch Potato, Outgoing, Quiet, Playful, Energetic
Other preferences:	Would prefer a dog who is house trained already.
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 Pembroke would be for our family. We hope to find a corgi who is friendly with our boys, ages 7.5 and 11 years old. We also have a 6 year old dog, Robbie, who we adopted from TAILS five years ago. Robbie is a shepard/doberman mix and is a docile, sweet and loving dog, who would welcome the company of another sweet animal. We have a large fenced yard in Glen Ellyn, Illinois.
Why do you want a Pembroke?	My son Benjamin loves Corgis. He loves the distinctive energy and good looks of Corgis. And we are a family who loves dogs.
Activities planned with Pembroke:	Take him to the forrest preserve with our boy scout troupe. Walk him with Robbie. Take him to Blackwell with Robbie and the boys.
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:	Lower my voice and tell them no. . . (basic vocal dog shaming)
Discipline:	Make them "nest" and lower voice and dog shame
Where would Pembroke spend the majority of the time:	with our dog Robbie in our yard and house.
Discipline:	Make them "nest" and lower voice and dog shame Where would Pembroke spend the majority of the time: with our dog Robbie in our yard and house.
House dog or outside dog?	House dog
People at home during the day?	Yes, I am an independent contracter and my husband works from home.
Where would dog eat?	In the kitchen
Where would dog sleep:	We would set up his own crate with a bed… It is optional for our other dog. Some times Robbie chooses to sleep in his crate and sometime he doesn't.
Play & exercise:	Lots of opportunities for walks and play.
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?	We have a chain link fence
Living arrangements:	Own home
Landlord info:
May we contact your landlord?
Lease allow dogs:
Landlord permission:
Restrictive covenants?	No, the condo covenants do not prevent me from having a dog.
Breed/size restrictions?	No
Description of yard:	Large yard with a chain link fence. No swimming pool.
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?	Kristin Sassi
Willing to train children?	yes
Any allergies?	No one is allergic.
Current pets:
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 want our dog to get along with the new dog. We would want them to meet first.
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: