Untitled_2072 - Lakeshore Pembroke Welsh Corgi Rescue

Date & Referral Source
State:		Date of Application:	10/27/2018	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:	1 year – 3 years, 3 years – 5 years	Gender preferred:	Either a Male or a Female	Color preferred:	Red Headed Tri, Black Headed Tri, Any color	Activity level:	Couch Potato, Outgoing, Quiet, Playful
Other preferences:	We have two cats who are 7 and 9 years old. They have lived very successfully with a Bassett/Beagle until "Annie" passed at 13 years old. (Our Vet, Marty Greer, breeds Corgies, but I cannot afford one of her dogs. I know she would love to see us receive a rescue Corgie. 🙂
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?	The Pembroke is for me, Denise.
Why do you want a Pembroke?	As a child my aunt & uncle had a Corgie on thier farm in Racine County Wisconsin. They obtained it from thier friend and Corgie breeder, Glee Leet, also from Union Grove WI. I played with "Copper" on the farm and loved to visit Glee's dogs and especailly her new puppies.
Activities planned with Pembroke:	We live in a rural village in eastern Wisconsin, at the bottom of lake Winnebago. We would take walks…I need to be inspired to exercize and big brown Corgie eyes, begging or a walk is the best inspiration I can think of! We'll walk up to my church and do volunteer work there, and up to Mrs. Wyms house and visit her (she's 91!) And we'll hang around the house and watch some TV.
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:	I would look her in the eye, and using a firm (my most "teachery" voice, I would say, "NO!" If she needed to go outside, I'd take her out.
Discipline:	A firm voice, a harness and leash and an eyeball to eyeball look can convey what the dog needs to know.
Where would Pembroke spend the majority of the time:	on the first floor of our home – living room, dining room, kitchen, office, bathroom.
Discipline:	A firm voice, a harness and leash and an eyeball to eyeball look can convey what the dog needs to know. Where would Pembroke spend the majority of the time: on the first floor of our home – living room, dining room, kitchen, office, bathroom.
House dog or outside dog?	House dog
People at home during the day?	Not ususally.
Where would dog eat?	In the kitchen.
Where would dog sleep:	Wherever she wants. But we would be happy to have her sleep in our bed room, on the floor, or on the bed.
Play & exercise:	We would do lots of walks, and get to know the dog park in Fond du Lac. Although we do not have a fenced back year, I believe she could be taught to respect the boundries of our property and not go beyond them. We have a wooded double lot that is adjacent to soft ball fields. We would probably walk back there and watch the games in the summer!
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:	We have a deck on the back side of the house. Steps lead down to the lawn. It is a double lot, wooded, adjecent to a community park featuring 3 ball fields in the summer and a football field in the fall. Our neighbors both have dogs – one a french bull dog and a "teddy bear." They are often tied out and bark a lot. (I feel sorry for them.) On the other side we have a VERY old German Pointer & a young Dachshund. They are ALWAYS attended by thier owners. Michelle would probably be happy to walk her dachshund with my Corgie and me!
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?	Denise Shaffer
Willing to train children?	We do not have small children. Our only son is a Senior at the University of Wisconsin, Milwaukee.
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. Given enough time and patience, I'm sure all will adjust and live in harmony!
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: