Untitled_1964 - Lakeshore Pembroke Welsh Corgi Rescue

Date & Referral Source
State:		Date of Application:	08/08/2018	Referred by:	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:	1 year – 3 years, 3 years – 5 years	Gender preferred:	Male	Color preferred:	Sable & White	Activity level:	Outgoing, Quiet
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?	My husband and myself😊
Why do you want a Pembroke?	I lost my beloved golden, Cooper, he was a few days shy of his 15th Birthday! He was my sole mate💖 Nothing will bring him back, it's pretty quiet with him not following me everywhere, I went. He was scared of thunderstorms, I would stay up all night, if needed, I have always admired the Corgi, my ancestors are from England, Queen Elizabeth just lost her last Corgi within the pass year. Her name was Willow💖 I have done research on the breed. It would be nice to have a smaller dog to cuddle with on my lap, Cooper was to big for that 😊He was unusually tall. I don't really want to go through the puppy stage again, but open to any age after that. You asked gender, color, age, etc., I put down my preference, but am open to all.😊
Activities planned with Pembroke:	We would go for walks, we live in a subdivision with a nice up hill private park. I would enjoy taking care of her/or him, I'm a good mom, responsible, loving, and have a good insight of what the dog may need💖
Aware that Pembrokes are busy, noisy dogs?	Yes
Money for basic care?	Yes
Money for unforeseen medical expenses?	No
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 have patience, sometimes you don't do anything, other times you may say "no", I'm not the kind of person that doesn't make the dog mind, they need that as well. You discipline in a calm way. Repeating what you want them to do is important. We love watching Ceasar, the dog whisperer. Our dog that passed away, was so well behaved, no issues at all.
Discipline:	"No", can use a spray water bottle, depending on the issue😊
Where would Pembroke spend the majority of the time:	I'm home during the day, He or she would be with me
Discipline:	"No", can use a spray water bottle, depending on the issue😊 Where would Pembroke spend the majority of the time: I'm home during the day, He or she would be with me
House dog or outside dog?	House dog
People at home during the day?	Yes
Where would dog eat?	In the kitchen
Where would dog sleep:	On a bed, on the landing of our stairs, only one step up. Perfect area, nice size. We have never had a dog sleep with us, in the long run I think it is better.
Play & exercise:	Walking for the excercise, playing in the house with toys, etc.
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?	Not applicable
Breed/size restrictions?	No
Description of yard:	No swimming pool, nice size yard, in front and back.
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?	Monica
Willing to train children?	Our children are grown, our grandchildren live out of state. But if children would visit I would make sure that they would be kind to the dog.
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?	We have no other animal. We only want one 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: