Untitled_1386 - Lakeshore Pembroke Welsh Corgi Rescue

Date & Referral Source
State:		Date of Application:	09/08/2017	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:	5 years – 10 years, 10 years +	Gender preferred:	Either a Male or a Female	Color preferred:	Red & White, Sable & White	Activity level:	Couch Potato, Outgoing, Quiet, Other (Please describe in the box below.)
Other preferences:	Since I am an active senior who lives a quiet home life, I think an older and more settled dog would be best for me.
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?	I wish to adopt an older dog as my companion.
Why do you want a Pembroke?	They make me laugh, they seem friendly and playful, and although I know they are active they always appear relaxed. I have been attracted to this breed since I was a child and saw Tasha Tudor's illustrations of her Corgis. I have done research and know that they are intelligent and independent thinkers, and also that they can be barkers and that they will need regular grooming. Also checked the price of grooming and I am okay with that.
Activities planned with Pembroke:	Daily walks, (which I prefer to the gym), throwing tennis balls and tug of war with toys. I like to hang out with my daughter and son-in-law when they go fishing and would definitely take my little buddy along to the river for wading the creeks, Also, my sister has beach property on the Gulf of Mexico and we spend time beach combing for shells. My buddy dog would love it.
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 him or let him know that he made a mistake and show him the correct behavior. In my experience dogs usually know when they do something wrong and a stern look or tone of voice is enough.
Discipline:	Rewards and treats for GOOOD behavior.
Where would Pembroke spend the majority of the time:	At home with me.
Discipline:	Rewards and treats for GOOOD behavior. Where would Pembroke spend the majority of the time: At home with me.
House dog or outside dog?	House dog
People at home during the day?	I am semi-retired and work 3 days a week. Otherwise I am almost always home,
Where would dog eat?	His dishes would be in the kitchen area.
Where would dog sleep:	In my bedroom, in either his bed or mine.
Play & exercise:	I answered this on a previous page. Daily walks, chasing balls, toys, car rides, and supervised play in the yard (I live on 7 plus acres). Also running on the beach and in the park.
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 home
Landlord info:
May we contact your landlord?
Lease allow dogs:
Landlord permission:
Restrictive covenants?	Not applicable
Breed/size restrictions?	No
Description of yard:	My house is on over 7 acres on a dead end road in a very rural area that is about 1/2 mile from the highway (Ranch Road). No swimming pool, just a wet weather creek. When I babysit my grandson's Jack Russell I let him explore on a leash. Occasionally I let him chase squirrels, with supervision, but not often.
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, Kathleen
Willing to train children?	No children here.
Any allergies?	No one is allergic.
Current pets:
Current pets dog friendly?	Yes, all of our current pets are friendly toward dogs.
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: