Untitled_2220 - Lakeshore Pembroke Welsh Corgi Rescue

Date & Referral Source
State:		Date of Application:	02/05/2019	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:	Any age	Gender preferred:	Either a Male or a Female	Color preferred:	Any color	Activity level:	Outgoing, Playful, Energetic
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 and my husband
Why do you want a Pembroke?	I got Charlie as a 3 month old puppy. We had so much fun over the years: walks, obedience, agility, rally obedience and zoommies around the living room. We also had our quiet times in the evening on the couch. He was the smartest dog I ever had and I have almost always had a dog in my life (78 years). He was my first Corgi and I loved his energy and willingness. We played daily games of fetch with his favorites, a yellow ball and a toy hedgehog.
Activities planned with Pembroke:	I'm not sure we would start agility again as my knees are not the best, but rally obedience was lots of fun and stress free at my level. I'm a very active retiree, take daily walks and own and ride horses. My husband has a Lab who loves to play as well.
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:	Depends on the mistake. If the dog was somewhere he shouldn't be, I would remove him. If he was eating something I didn't want him too, I would remove it. If he was on his leash I would gently correct him, as I learned in obedience class. If he made a potty mistake I would figure it was my fault for not taking him out!
Discipline:	See above. I don't hit or kick my dogs or yank on the leash.
Where would Pembroke spend the majority of the time:	With me, whether in the house, out at the barn, or in the garden.
Discipline:	See above. I don't hit or kick my dogs or yank on the leash. Where would Pembroke spend the majority of the time: With me, whether in the house, out at the barn, or in the garden.
House dog or outside dog?	House dog
People at home during the day?	Yes, my husband and I are both retired. We rarely go on extended vacations due to all our animals.
Where would dog eat?	I fed Charlie in the laundry room just off of the hallway and kitchen. He got his morning treat in a kong which he took to the living room.
Where would dog sleep:	I had a dog bed in the bedroom so that Charlie could be near me.
Play & exercise:	I take a daily walk and Charlie and I played fetch every day. He also liked to play tug. When I went to the barn or the garden I put him on a long leash so that he could still be with me.
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 live on 113 acres in rural Benton County. My husband mows a large yard to keep the ticks and other bugs at bay. Our house is one tenth of a mile from the road and there is a horse pasture on one side of our driveway and a planted prairie on the other side. On the back side of the house is a large mowed area and then some brushy woods. The horse barn (2 horses and a mini-donkey) has a fenced paddock area with electric fencing as well as a board fence. There is a utility shed and 2 pigeon coops also skirting the yard.
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?	Connie
Willing to train children?	My own grown children have all had pets and 3 of them currently still have them. The grandchildren have been in our home with our pets and in their own homes with theirs.
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?	I have 2 barn cats (4 and 17 years) who got along just fine with Charlie. They loved him and would rub on him whenever they were outside when we were. There were never any hostilities and I'm sure I could work to resolve any in the future.
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: