Untitled_2012 - Lakeshore Pembroke Welsh Corgi Rescue

Date & Referral Source
State:		Date of Application:	09/04/2018	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:	3 years – 5 years, 5 years – 10 years	Gender preferred:	Female	Color preferred:	Any color	Activity level:	Couch Potato, 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?	Me. I am a single, 61 year old woman. I work full time so I am looking for an older dog. I have a fairly new rescue, Buddy, that is a very sweet 7 year old male. I think he gets lonely during the day and I would like to find a sweet female corgi (has always been a breed I've wanted). I would prefer to rescue a dog that needs a home. I have had four rescues and each one was a joy.
Why do you want a Pembroke?	I love the look of a corgi, it's size, temperment and sweet nature. I had a neighbor that had one and it was so well mannered, an all around good dog.
Activities planned with Pembroke:	Lots of walks. She would have the company of my current dog and I hope they would become best friends.
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:	Verbal command. If serious, time out.
Discipline:	Verbal. Time out on dog bed if necessary.
Where would Pembroke spend the majority of the time:	In the house, on the couch, in the living room.
Discipline:	Verbal. Time out on dog bed if necessary. Where would Pembroke spend the majority of the time: In the house, on the couch, in the living room.
House dog or outside dog?	House dog
People at home during the day?	No, I live along but take the dogs out for a good walk in the morning and let them do their business. I also take two half-mile walks with them in the evening.
Where would dog eat?	In the kitchen
Where would dog sleep:	In my bed
Play & exercise:	Three walks daily. We go to a nature trail on weekends. With my dog Buddy to play with they would have fun.
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 three story townhouse
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:	The dog will always be on a leash when outside
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?	Me, Jennifer
Willing to train children?	My son is 25 and lives out of state
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, of course.
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: