Untitled_1352 - Lakeshore Pembroke Welsh Corgi Rescue

Date & Referral Source
State:		Date of Application:	08/21/2017	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	Gender preferred:	Female	Color preferred:	Any color	Activity level:	Outgoing, Quiet, 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?	Myself
Why do you want a Pembroke?	I have raised 4 PWCs in my life. My 2 beautiful girls aged 14 and 15 years died last summer within 6 weeks of each other. Broke my heart, but I am now ready to have another corgi. I love corgis. I love everything about them. Ok, the shedding cycle can be a bit 'hairy", but keep them brushed out and it isn't too bad. We have had one or two corgis for 30 years.
Activities planned with Pembroke:	My last two were completely different one was a real couch potato/snuggler and the other was crazy active. They both liked walks. The active one played catch and tug. They both went camping with us. They both liked making up goofy games and tricks. My first corgi learned over 30 different voice and hand commands.
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:	Usually Corgis know by the tone of your voice that they messed up. Big infractions get sent to their bed or crate for a time out.
Discipline:	tone of voice and time outs
Where would Pembroke spend the majority of the time:	With me, either in the house, the craft barn or outside working on our property.
Discipline:	tone of voice and time outs Where would Pembroke spend the majority of the time: With me, either in the house, the craft barn or outside working on our property.
House dog or outside dog?	House dog
People at home during the day?	No, I'm retired but my husband still works for a Medical Taxi Service weekdays
Where would dog eat?	They eat in the kitchen and absolutely NO tablescraps!
Where would dog sleep:	In its bed and that can be where ever it wants,
Play & exercise:	We own property and my girls and I used to do 3 laps of my jogging track for 1 mile. There is always time outside just playing games. We play chase and jumping in leaves,
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:	Farmland, Not currently farming
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?	Me
Willing to train children?	No children. Older granddaughters visit occasionally.
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?	We have barn cats that I feed in the barn. They run away from dogs and sometimes people.
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: