Untitled_1937 - Lakeshore Pembroke Welsh Corgi Rescue

Date & Referral Source
State:		Date of Application:	07/20/2018	Referred by:	Website, Veterinarian
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:	Other (Please describe in the box below.)
Other preferences:	Needs to be house broken.
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
Why do you want a Pembroke?	I love the curious, herding nature of these dogs. Their bright, energetic disposition and their general need for a lot of attention/affection is also great.
Activities planned with Pembroke:	My dog and I would do quite a bit of walking or light hiking. Dog parks are not pit of the question, depending on the dog's personality. At home, I'm looking for the snuggle-bug who likes hanging out on my sofa with me.
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:	Correction via positive reinforcement for good behavior
Discipline:	Positive reinforcement
Where would Pembroke spend the majority of the time:	With me or, on occassion, crated once trained
Discipline:	Positive reinforcement Where would Pembroke spend the majority of the time: With me or, on occassion, crated once trained
House dog or outside dog?	House dog
People at home during the day?	Yes, me.
Where would dog eat?	Kitchen
Where would dog sleep:	Open crate w bedding…but most likely with me.
Play & exercise:	I walk daily, and, if temperament allows, dog parks.
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:	Apartment
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:	Yard had a small fence from the main road, however, nothing substantial enough to restrict the dog. I'd walk them outside using a harness and leash at all times.
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?	Myself, Sandra Kie
Willing to train children?	My kids are older and, since I am a vet tech and former wildlife rehabber. I've taught them respect for all creatures since they were small
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?	Of course, but it does not apply
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: