Untitled_1848 - Lakeshore Pembroke Welsh Corgi Rescue

Date & Referral Source
State:		Date of Application:	05/30/2018	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:	1 year – 3 years	Gender preferred:	Female	Color preferred:	Any color	Activity level:	Outgoing, Playful, Energetic
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?	Me
Why do you want a Pembroke?	I love Corgis. All Corgis. I had a sweet little girl about 30 years ago. She was my best friend. She died of old age, my children grew older and I went back to work. I was able to adopt a 3/4 Corgi 1/4 Aust Cattle dog 12 years ago. She is now almost 14. She has the stubborn ness of a Corgi. So funny.
Activities planned with Pembroke:	Nena and I walk every day. We have a very large church near us with a three acre meadow behind. They allow me to take her back there to play. I am the only one that does so no worry of other dogs. I have a FB friend that runs Corgi agility in Illinois and we have a kennel here that does also. She would also travel with us.
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:	I move to the level of her little face and sternly say NO.
Discipline:	No physical methods ever. Nena was very fearful when we brought her home. Very afraid of feet. If she had an accident in the house I would say OH NO. Clean it up and give her a cuddle. No accidents after her first six months.
Where would Pembroke spend the majority of the time:	In the house with us.
Discipline:	No physical methods ever. Nena was very fearful when we brought her home. Very afraid of feet. If she had an accident in the house I would say OH NO. Clean it up and give her a cuddle. No accidents after her first six months. Where would Pembroke spend the majority of the time: In the house with us.
House dog or outside dog?	House dog
People at home during the day?	Yes, we are retired but not old.
Where would dog eat?	It would depend on her vet’s recommendation depending on weight or allergies. Nena has a Cesar in morning for breakfast, one or two low cal treats during day and grain free dry kibble.
Where would dog sleep:	Anywhere she felt comfortable, hopefully on her bed next to mine.
Play & exercise:	As stated above in acreage behind church and if she is fit enough at agility classes.
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?	No
Description of yard:	We have a condo but side by side. We have a large deck and a small yard.
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?	Kathryn
Willing to train children?	My children are in their forties. They do not live near us but when they visit with grandchildren they love animals as do I.
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?	Yes
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: