Untitled_1363 - Lakeshore Pembroke Welsh Corgi Rescue

Date & Referral Source
State:		Date of Application:	08/26/2017	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:	1 year – 3 years, 3 years – 5 years	Gender preferred:	Male	Color preferred:	Any color	Activity level:	Couch Potato, 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?	Me! I am a 55 year old woman ~ I live and work at my business address. My flower shop is on the main floor, and I live upstairs. I have a greenhouse outside and a large garden lot (plenty of room for play) I just lost my beloved 13 year old Bud recently and I miss him so!! My dog is with me 24/7 and goes to work with me everyday. Corgis love delivering and playing the garden and hanging out in the greenhouse. No tail is great for working in the flower shop as he won't knock things over:) Please consider me ~ My apartment is too clean and my heart is too empty:(
Why do you want a Pembroke?	I could love any dog, but a Corgi is just my kind of dog! Bud became very expensive, scratched corneas, hip issues, enlarged heart ~ no expense was spared. I have no children, so my dog is my child.
Activities planned with Pembroke:	Working, walking, playing, cuddling and socializing ~ he would be with me ALWAYS, never alone!
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:	raised voice
Discipline:	raised voice
Where would Pembroke spend the majority of the time:	With me!! ALL THE TIME!!
Discipline:	raised voice Where would Pembroke spend the majority of the time: With me!! ALL THE TIME!!
House dog or outside dog?	House dog
People at home during the day?	He would go to work with me.
Where would dog eat?	His food station in my entry way
Where would dog sleep:	On the floor next to my bed ~ I won't allow in bed, for fear of injury on dismount.
Play & exercise:	I work outside the better part of the day in the summer and at least a 15 minute walk daily.
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:	own – live above my business
Landlord info:
May we contact your landlord?
Lease allow dogs:
Landlord permission:
Restrictive covenants?	Not applicable
Breed/size restrictions?	No
Description of yard:	Large garden lot, that I own right next to me. No pools, exept a baby pool for him and the hose that corgis love so much!
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?	diana Spiekermeier
Willing to train children?	Not an issue, but 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?	Not an issue, but of course
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: