Untitled_2233 - Lakeshore Pembroke Welsh Corgi Rescue

Date & Referral Source
State:		Date of Application:	02/13/2019	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	Color preferred:	Any color	Activity level:	Couch Potato, Outgoing, Quiet, Playful, Energetic, Very Active
Other preferences:	I prefer to stay away from the older dogs as I had a hard time with the passing of the last dog. Would also prefer a dog that likes to ride in the car.
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 dog is for me. My last dog Face, an American Staffordshire Terrier passed away about 3 years ago. He was the sweetest most loving thing and I miss him greatly. I think it is now time for me to get another dog. I have always wanted a Corgi for as long as I can remember but I have always gotten my dogs from rescues or ones my kids brought home from along the way. I am 56 years old, work a lot from home. I don't have any other pets. My family all lives right in the same neighborhood and my 12 year old granddaughter & 6 year old grandson visit often.
Why do you want a Pembroke?	I love the look of the cute little dogs. They are super cute and super smart. The only experience I have with them is from when I was younger my neighbor had one and he was the greatest little dog. Yes I have done my research on the breed.
Activities planned with Pembroke:	Daily walks. Dog park. Car rides. Boat rides. Heck everything I do he can do with me.
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:	well it would depend on if I was there for the mistake. Distract him from what he is doing and redirect. Scruff shake a little bit to get his attention. say no then sit so he has new direction.
Discipline:	time out situations seem to work the best. take the dog out of the bad behavior and into something else.
Where would Pembroke spend the majority of the time:	he would spend most of his time in the house with me or out in the yard with me
Discipline:	time out situations seem to work the best. take the dog out of the bad behavior and into something else. Where would Pembroke spend the majority of the time: he would spend most of his time in the house with me or out in the yard with me
House dog or outside dog?	House dog
People at home during the day?	I am home a lot during the day and when I am not and unable to take the dog with me my family is around and can help out
Where would dog eat?	In the kitchen of the house.
Where would dog sleep:	Where ever he wanted to
Play & exercise:	He will be able to play and exercise when ever he wants.
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:	The apartment that I live in has an underground dog containment system
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?	Kathleen Kreitlow
Willing to train children?	Yes any children in our family is taught from a very young age how to treat animals
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?	yes most definately
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: