Untitled_1330 - Lakeshore Pembroke Welsh Corgi Rescue

Date & Referral Source
State:		Date of Application:	08/09/2017	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, 3 years – 5 years, 5 years – 10 years	Gender preferred:	Female	Color preferred:	Any color	Activity level:	Outgoing, Playful, Energetic
Other preferences:	I just lost my Pembroke, Stella, and feel this breed is perfect for me. I live alone on a farm. My husband died a year and half ago. I still have a few cattle but they are also cared for by a hired person. I am outside frequently and get plenty of exercise and walk daily with my dog. My dogs are my constant companion, both inside and out. I have raised dogs from puppy stage to rescue adults.
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-Marilyn
Why do you want a Pembroke?	As I previously stated, my last dog, Stella was a Pembroke. She was given to me by a co worker who could no longer care for her. When I still worked she was with my husband on the farm both inside and out and always slept indoors by our bed. I retired when he got cancer and spent her time primarily with me. I love her energy, attitude, intelligence, spunk, happiness, and joy of living. She was a farm dog but a great inside companion. I know some may consider Pembroke a bit needy but to me they are intelligent and perceptive.
Activities planned with Pembroke:	Living on a farm there are a variety of activities depending on the season. Regardless of the weather- except perhaps pouring rain- there are daily walks, per se, feeding animals, checking cows in the pasture and woods, using a mule-a seated 4 wheeler -to do various jobs, going down to my pond where the dog can splash on the edge as I swim in it, riding to town a few miles away for a short errand, playing in the house and petting, resting and sleeping by my side but not in the bed.
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 tell them of the mistake in a voice different than normal and that it was not the way to be.
Discipline:	verbal, positive reinforcement
Where would Pembroke spend the majority of the time:	with me depending on where I was
Discipline:	verbal, positive reinforcement Where would Pembroke spend the majority of the time: with me depending on where I was
House dog or outside dog?	House dog
People at home during the day?	yes
Where would dog eat?	I have an area in my kitchen set up for the corgi
Where would dog sleep:	I have 3 dog beds-one in the living room, one in the bedroom by my bed, and one in my screen porch
Play & exercise:	The corgi will get much exercise. Walking, exploring would be the primary form outside.
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:	farmhouse and out buildings with big yard, not near a road
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?	Marilyn Campbell
Willing to train children?	of course
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
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: