Untitled_2217 - Lakeshore Pembroke Welsh Corgi Rescue

Date & Referral Source
State:		Date of Application:	02/01/2019	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:	0 months – 1 year (we rarely get dogs in this age group), 1 year – 3 years	Gender preferred:	Male, Female	Color preferred:	Any color	Activity level:	Couch Potato, Outgoing, Quiet, Playful, Energetic, Very Active
Other preferences:	I can provide a safe and loving 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?	It is for me.
Why do you want a Pembroke?	I had a corgi. She was the love of my life. I lost my husband and my Angel, that was her name, and I am ready to have a dog back in my life.
Activities planned with Pembroke:	I know how active playful and lovable they are. She or he would be my constant companion and I would walk play and love him or her every day.
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:	gently show him the mistake, and try to keep him or her calm and just repeat the process always with patience and kindness.
Discipline:	Just saying no when needed, and good girl or boy always so he or she can learn the difference.
Where would Pembroke spend the majority of the time:	With me in my home, and hopefully sleep with me. But a doggy bed will always be available.
Discipline:	Just saying no when needed, and good girl or boy always so he or she can learn the difference. Where would Pembroke spend the majority of the time: With me in my home, and hopefully sleep with me. But a doggy bed will always be available.
House dog or outside dog?	House dog
People at home during the day?	Yes someone is always home as my sister lives downstairs so does my brother.
Where would dog eat?	In the kitchen.
Where would dog sleep:	Hopefully in my bed but as I said his or her bed with be in the bedroom when I go to sleep.
Play & exercise:	With walking and playing 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?	White privacy 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:	Big back fenced in yard. No pool.
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?	Maureen OBrien Pistilli
Willing to train children?	Yes. That is part of becoming a compassionte grown up.
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. My cat is a rescue who interacts well with other animals. My cat even travels with me in the car, as would the corgi if Im lucky to get one.
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: