Untitled_1740 - Lakeshore Pembroke Welsh Corgi Rescue

Date & Referral Source
State:		Date of Application:	04/01/2018	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:	Any age	Gender preferred:	Female	Color preferred:	Any color	Activity level:	Couch Potato, Outgoing, Quiet, Playful, Energetic
Other preferences:	No separation anxiety – the dog will be left alone during the day.
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?	Myself. I lost my baby, Lilly, to a cancerous tumor on her heart a week before her tenth birthday. She was my life. I had raised her since a puppy and we had been through everything together – we are inseparable. My home is empty without the love Lilly provided. I know I can't replace her, but I want to have that connection again.
Why do you want a Pembroke?	My last dog was a Pembroke. I used to groom dogs and they were my favorite. They're extremely intelligent, and funny, and they can hold their own but still love to be with people and love to snuggle. They're both independent and social…and my baby girl was so laid back… They all just have such great individual personalities!
Activities planned with Pembroke:	Walks, dog parks, play dates with other dogs my friends' have, visits to my grandmother's retirement home – ideally she would go with me anywhere I was allowed to take her.
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:	If I saw the mistake, I would gently correct and reward good behavior. If I didn't see the mistake, I can't correct it.
Discipline:	I have had good results with a shaker can filled with pennies to get the dog's attention and then giving positive reinforcement for the desired behavior. And clickers.
Where would Pembroke spend the majority of the time:	Once house trained, free roaming the apartment
Discipline:	I have had good results with a shaker can filled with pennies to get the dog's attention and then giving positive reinforcement for the desired behavior. And clickers. Where would Pembroke spend the majority of the time: Once house trained, free roaming the apartment
House dog or outside dog?	House dog
People at home during the day?	No, but someone would stop by to walk the dog once
Where would dog eat?	In the entryway with his food and water dishes.
Where would dog sleep:	Hopefully with me!
Play & exercise:	Dog park, daily regular walks, regular play dates with friends' dogs.
How will you exercise your dog?	On leash
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:	Rent/lease home
Landlord info:
May we contact your landlord?	Yes, you may contact my landlord.
Lease allow dogs:	Yes, my lease permits dogs.
Landlord permission:	Yes, my landlord is fine with me owning a Pembroke
Restrictive covenants?	Not applicable
Breed/size restrictions?	Yes
Description of yard:	No house
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?	Lene Dotzler
Willing to train children?	Yes
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?	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: