Untitled_2043 - Lakeshore Pembroke Welsh Corgi Rescue

Date & Referral Source
State:		Date of Application:	10/01/2018	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	Gender preferred:	Either a Male or a Female	Color preferred:	Any color	Activity level:	Couch Potato, Outgoing, Quiet, Playful, Energetic
Other preferences:	We have grandchildren. They respect dogs. We would like one that isn't afraid of children.
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. We just lost our 2 rescued dogs within the last 23 months. Sophie was 14 (chow lab mix) we lost her August 2017 and Jack we lost in September (rescued Jack Russell),he was 15yrs. We are only interested in rescues and and have been lucky enough to have them around a very long time…
Why do you want a Pembroke?	our first dog was a corgi scottie mix . she was very smart and loved to herd our girls in the backyard. we had Licorice for 14 years.
Activities planned with Pembroke:	We loved to take our dogs walking. I enjoy their company in the yard while I am gardening. I also took my other dogs to the park
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:	voice my disapproval and take him outside. My dogs knew when they made a mistake so it wasn't necessary to hit or yell . I think that is counter productive as our rescues were fearful when we got them. Time and patience always wins.
Discipline:	verbal disapproval…only
Where would Pembroke spend the majority of the time:	house and yard
Discipline:	verbal disapproval…only Where would Pembroke spend the majority of the time: house and yard
House dog or outside dog?	House dog
People at home during the day?	yes… at least one of us.
Where would dog eat?	kitchen
Where would dog sleep:	dog bed in our bedroom
Play & exercise:	daily walk and lots of play in the yard
How will you exercise your dog?	Both on leash and restrained to the yard
Fenced yard?	Yes, I have a fenced in yard.
Willing to pick up dog waste?	Yes, I will clean up after my dog.
Willing to use a crate?	6ft dogeared wooden fence
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:	Our pool has been removed . We have 3/4 of an acre most of it is the backyard. I have been featured on garden tours. We have mature black walnut trees and the back end of the yard is where my studio is located. Lots of room to explore and run
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?	Jeannine Delong
Willing to train children?	We always have
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 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: