Untitled_1788 - Lakeshore Pembroke Welsh Corgi Rescue

Date & Referral Source
State:		Date of Application:	04/25/2018	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:	Any age	Gender preferred:	Either a Male or a Female	Color preferred:	Any color	Activity level:	Outgoing, Playful
Other preferences:
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?	Peter & Kathy Whatley. Our last Pembroke Welsh Corgi, Brownie, a rescue dog, died in Jan. 2018 age 14 1/2. We know and love Corgi's and want another.
Why do you want a Pembroke?	Our last Pembroke Welsh Corgi, Brownie, a rescue dog, died in Jan. 2018 age 14 1/2. We know and love Corgi's and want another. The place is altogether too quiet. We have owned three Corgi's in the last 20 years. We love the breed and want to give another a good home. (And our daughter is a veterinarian).
Activities planned with Pembroke:	Regular walks – daily.
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:	Love, patience, training
Discipline:	Stern voice, A "treat" occasionally to encourage good behavior (It's always worked well in the past)
Where would Pembroke spend the majority of the time:	Inside our home (our last corgi like the cool floor of the laundry/mud room)
Discipline:	Stern voice, A "treat" occasionally to encourage good behavior (It's always worked well in the past) Where would Pembroke spend the majority of the time: Inside our home (our last corgi like the cool floor of the laundry/mud room)
House dog or outside dog?	House dog
People at home during the day?	Most of the time (we are recently retired)
Where would dog eat?	Probably the laundry room
Where would dog sleep:	Dog bed, probably in the bedroom (but not on the bed)
Play & exercise:	Walks daily. We have several parks close by.
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:	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?	Yes
Description of yard:	Twin home (town house). "Association" limits weight of dog to 30 lb. but a corgi would have to be over weight to exceed this. We do not see any problem (our last corgi weighed 31 lb.!). No 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?	Peter and Kathy (shared duties)
Willing to train children?	Grand children (they all have dogs too). No problem.
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 presently have no other pets and have no plans to own more than one PWC. Should anything untoward happen to us we have three children (30+) in the area that would take our dog.
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: