Untitled_1407 - Lakeshore Pembroke Welsh Corgi Rescue

Date & Referral Source
State:		Date of Application:	09/19/2017	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:	1 year – 3 years, 3 years – 5 years	Gender preferred:	Either a Male or a Female	Color preferred:	Any color	Activity level:	Outgoing, Quiet, Other (Please describe in the box below.)
Other preferences:	I am used to being able to pick up my dog, if needed. So, I am looking for a dog 20lbs or less, definitely not more than 25lb. I would like a dog with no pre-existing health conditions and is potty trained. Our previous corgis were not barkers, but I have met some who are. Incessant barking I do not want.
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?	Me. I am a 62-year-old single person. I live on Park Point, a 4-mile beach, in Duluth, MN. I own my own house and have a fully fenced in backyard. I recently lost Victoria, my 9-year-old long-haired chihuahua, to congestive heart failure. Growing up, my parents and I raised two Pembroke Welsh corgis. They were from the Sandyshire kennel in Michigan.
Why do you want a Pembroke?	We were lucky to have had two amazing corgis. They were noble and very loyal. They were friendly and very loving. They were very intelligent and lots of fun. There was something magical about them. They had temperament of a big dog in a small body.
Activities planned with Pembroke:	Take long walks on the beach and Lake walk. Take car trips to my summer cottage Play fetch with balls and toys Be able to massage and brush both teeth and coat I have a small agility course, if the dog is interested.
Aware that Pembrokes are busy, noisy dogs?	No
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:	I calmly, in a low tone, say "NO". Then I redirect their attention. I have also used coins in a soda can. When shaken, the noise gets the dog's attention which makes it easier then to redirect them.
Discipline:	Redirecting the Pembroke's attention to a suitable behavior or activity is best, as previously mention. To calm a dog, ignoring it works for me. I have been fortunate to own dogs with very few behavioral problems.
Where would Pembroke spend the majority of the time:	With me, in the house, on walks, in the car, at my cottage.
Discipline:	Redirecting the Pembroke's attention to a suitable behavior or activity is best, as previously mention. To calm a dog, ignoring it works for me. I have been fortunate to own dogs with very few behavioral problems. Where would Pembroke spend the majority of the time: With me, in the house, on walks, in the car, at my cottage.
House dog or outside dog?	House dog
People at home during the day?	Yes, I am retired.
Where would dog eat?	The adopted corgi would eat in the kitchen with her own food bowl.
Where would dog sleep:	When the Pembroke first arrived, they would sleep in their kennel beside my bed. Later they would sleep in their own bed next to mine. Our previous corgis did not wish to sleep on the bed it was too warm for them.
Play & exercise:	Lots or beach and Lake walk walks. Playing fetch with toys and balls inside and out. And, if they are interested, running my agility course. I would say around two hours a day would be the average.
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?	My fence is a six foot high cedar privacy fence.
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:	I have a fenced in backyard accessed by a patio door. The area is approximately 50 x 80 feet. I have lawn, trees, and a terraced garden with shrubs and cedar chips.
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?	Elizabeth Gay Hooper
Willing to train children?	N/A
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?	N/A
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: