Untitled_2004 - Lakeshore Pembroke Welsh Corgi Rescue

Date & Referral Source
State:		Date of Application:	09/01/2018	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:	Female	Color preferred:	Any color	Activity level:	Couch Potato, Outgoing, Quiet, Playful, Energetic
Other preferences:	We recently lost our corgi of 13+ years. A new corgi would receive lots of love and attention. While we do work from home, a new corgi would be left alone occasionally for when we do errands, etc. and our concern would be any separation anxiety issues including destructive behaviors. A crate trained corgi would be helpful during our getting used to each process. We have 38 acres total with approximately 4 acres of this being our yard and mowed walking trails. We have 6 grand children and occasionally their family dogs join them for visits to our home.
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?	Jeanne & Dennis Rego
Why do you want a Pembroke?	We have owned 5 Golden Retrievers and one Corgi. Our last set of dogs was two female Retriever litter mates and Zoey our Corgi. Zoey was sweet, silly, affectionate, loved walks with her big seesters and playing ball, car rides, Saturday mornings at the local farm market. Zoey would literally do "squirt spurts" begging her big seesters to chase her and wrestle with them. The only kind of dog Zoey would meet were other Retrievers – refused to acknowledge all other breeds :-). Being in our 60's it gets harder physically to assist large breed dogs as they age and need more assistance or develop health issues. Corgi's are a smaller breed, but have a big breed head with their confidence and personalities.
Activities planned with Pembroke:	Walks, car rides, play ball, whatever. We will take the time to get to know a new Corgi and it's personality and learn it's preferences and do favorite activities from there.
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:	That would depend upon the mistake. In general believe it works best if one can catch the mistake as it happens. Tell/show the dog what was wrong, and immediately redirect situation to a good outcome and reward. Honestly, Zoey was so good and wanted to please, so corrections were rarely needed and tended to be more about her being a young puppy and the learning process that comes with that. Once grown, Zoey was a perfect companion. We believe in being pro-active and not creating a tempting situation to begin with so dog is not set up for failure.
Discipline:	Showing them what is incorrect, gentle but firm verbal scolding and if needed a kennel time out.
Where would Pembroke spend the majority of the time:	Where ever we are. When working in our offices, hopefully Corgi would choose to spend time with us. We are big gardeners, so outside with us whenever we are outside.
Discipline:	Showing them what is incorrect, gentle but firm verbal scolding and if needed a kennel time out. Where would Pembroke spend the majority of the time: Where ever we are. When working in our offices, hopefully Corgi would choose to spend time with us. We are big gardeners, so outside with us whenever we are outside.
House dog or outside dog?	House dog
People at home during the day?	yes
Where would dog eat?	In the kitchen in a designated area
Where would dog sleep:	In our bedroom with us, and hopefully in bed with us if suitable bed partner
Play & exercise:	We have a large yard for playing ball, mowed walking paths on our property for structured walks. Trips to farm market if the Corgi likes them, car rides. We would take time to get to know our Corgi's preferences and work to make exercise time enjoyable and something to look forward to.
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:	we have a 4 acre yard with additional 34 acres that include a 20 acre hay field left go to go to prairie, a wooded section of about 8 acres were we grow our Christmas trees, pines, black walnuts, etc., and a small wooded ravine with a seasonal creek.
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?	Jeanne Dimick-Rego
Willing to train children?	Yes – however all our adult children grew up with our first Retrievers, have all owned dogs, cats and other critters of their own. Our son's family fosters rescue dogs.
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, however have no plans to have multiple dogs. All the above noted dogs are deceased.
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: