Untitled_1927 - Lakeshore Pembroke Welsh Corgi Rescue

Date & Referral Source
State:		Date of Application:	07/13/2018	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:	1 year – 3 years, 3 years – 5 years	Gender preferred:	Either a Male or a Female	Color preferred:	Any color	Activity level:	Quiet, 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?	Chris and Ron Pomprowitz
Why do you want a Pembroke?	Had a friend with a Corgi and the dog was very intelligent, "loving", and not too big or too small. Dog-sat that Corgi and never had any issue. Have researched the breed.
Activities planned with Pembroke:	Going for short walks, playing in the yard, snuggling, teaching tricks such as rollover, shake paws if the dog has not already learned that.
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?	No
Vet contact info:
Will handle mistakes Pembroke makes like this:	First make sure that the dog is ok. Fix whatever needs to be fixed. Move on. If it's a repeat incident, then need to look at reasons for it to continuing occur.
Discipline:	Conversation — only raise voice if it is needed to get the dog out of a dangerous situation….like running in to the street. There's discipline and there's training. If the dog is trained properly there's never an issue. I treat my dog as a little person, respect and caring go a long way.
Where would Pembroke spend the majority of the time:	With my husband an me. Wherever we go, the dog would go.
Discipline:	Conversation — only raise voice if it is needed to get the dog out of a dangerous situation….like running in to the street. There's discipline and there's training. If the dog is trained properly there's never an issue. I treat my dog as a little person, respect and caring go a long way. Where would Pembroke spend the majority of the time: With my husband an me. Wherever we go, the dog would go.
House dog or outside dog?	House dog
People at home during the day?	We are both retired so we would be with the dog day and night.
Where would dog eat?	At home with us. In the kitchen.
Where would dog sleep:	At home with us….would like to use a crate if possible for sleep, however, would then have to confine the dog to a specific area such as our spare bedroom, office, etc.
Play & exercise:	Certainly would have time all day for play and exercise. Like to take walks two to three times during the day. Walks are 30 minutes at the most.
How will you exercise your dog?	Both on leash and restrained to the yard
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?	Not applicable
Breed/size restrictions?	No
Description of yard:	Back yard is fenced on 3 sides. There are no hazards.
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?	Christine Pomprowitz
Willing to train children?	Our child is 36 years old and has 2 dogs of his own.
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?	Don't have any other pets.
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: