Untitled_2230 - Lakeshore Pembroke Welsh Corgi Rescue

Date & Referral Source
State:		Date of Application:	02/12/2019	Referred by:	Other
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:	Couch Potato, Outgoing, Quiet, Playful
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?	Myself
Why do you want a Pembroke?	I recently put my two elderly Pembroke Welsh Corgi males to sleep as one was paralyzed with DM and the other had DM and cancer. One was a rescue and the other came from a breeder and I had them as a pair for over 10 years. I love their intelligence, silliness, loyalty and big heart in a small body.
Activities planned with Pembroke:	I took my two corgis everywhere. We traveled around the United States, we went to dog parks on a weekly basis when their health permitted, I specifically took them on a trip out to Oregon last fall as their "bucket list" trip so they could play in the ocean one last time.
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:	A firm voice that let's the dog know that I do not approve. With my last two corgis, this was all it took for them to know that what they did was not acceptable. I don't believe in raising my voice, just using a firm voice. I would also remove a dog from the situation if warrented.
Discipline:	Redirection, removing dog from situation if needed, letting them know through my voice and facial features that I do not approve. Assessing the situation to try and figure out why a dog is behaving in a certain way and how I can change the environment to change the behavior.
Where would Pembroke spend the majority of the time:	In the house. My last two corgis had free run of the house but I would create an environment that the dog felt safest and most comfortable in. This might mean gating off a part of the house if necessary or providing a large crate for the dog to freely get in and out of if that is what makes them most comfortable.
Discipline:	Redirection, removing dog from situation if needed, letting them know through my voice and facial features that I do not approve. Assessing the situation to try and figure out why a dog is behaving in a certain way and how I can change the environment to change the behavior. Where would Pembroke spend the majority of the time: In the house. My last two corgis had free run of the house but I would create an environment that the dog felt safest and most comfortable in. This might mean gating off a part of the house if necessary or providing a large crate for the dog to freely get in and out of if that is what makes them most comfortable.
House dog or outside dog?	House dog
People at home during the day?	No. I do come home for lunch though.
Where would dog eat?	In the kitchen
Where would dog sleep:	In a very cozy dog bed in the bedroom
Play & exercise:	There is a big back yard and I love taking pups to the dog park and on adventures. They would have an opportunity to exercise at least twice a day.
How will you exercise your dog?	Both on leash and restrained to the yard
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:	Rent/lease home
Landlord info:
May we contact your landlord?	Yes, you may contact my landlord.
Lease allow dogs:	Yes, my lease permits dogs.
Landlord permission:	Yes, my landlord is fine with me owning a Pembroke
Restrictive covenants?	Not applicable
Breed/size restrictions?	No
Description of yard:	I rent a home with an unfenced back yard that does not contain any swimming pools or hazards. This is the same house that I had my previous two corgis. My landlord does not object to dogs.
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?	Christina
Willing to train children?	I live alone
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 do not have pets currently
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: