Untitled_1400 - Lakeshore Pembroke Welsh Corgi Rescue

Date & Referral Source
State:		Date of Application:	09/14/2017	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:	3 years – 5 years, 5 years – 10 years	Gender preferred:	Male	Color preferred:	Any color	Activity level:	Couch Potato, Outgoing, Playful, Energetic
Other preferences:	My first two corgis came from rescues (adults): Stubby from my humane society and Scotty from Nina Van Camp at Greater Ohio Valley PWC rescue. Sage, my current PWC came from a thoroughly research breeder in Minnesota. All my Border Collies came from breeders of working sheep dogs.
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 (Lois Phelps)
Why do you want a Pembroke?	This will be my 4th PWC. I love the breeds' "smarts" and attitude. I started with Border collies and can't image going outside the herding group. I switched to the PWC when I turned 50 in the mistaken belief that, because of their short legs, I would be able to keep up with them. I competed (but not titled) my Borders' in agility & flyball. I have "practiced/trained" agility with all my Pems.
Activities planned with Pembroke:	currently, lots of walks and backyard agility
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:	Depends upon the situation. I am a positive trainer, I hold a current CPDT-KA (Certified Professional Dog Trainer-Knowledge Assessed). I train according to ABC (Antecedent Behavior Consequence) meaning the A and/or C needs to change to affect behavior modification. I use lure & reward methods (what gets rewarded gets repeated). I use corrections…non-physical and humane. I refer you to the statement of ethics of the Certification Council of Professional Dog Trainers (CCPDT)
Discipline:	See above.
Where would Pembroke spend the majority of the time:	In the house, crated as appropriate, fenced yard (also access to the bed, couch, etc.)
Discipline:	See above. Where would Pembroke spend the majority of the time: In the house, crated as appropriate, fenced yard (also access to the bed, couch, etc.)
House dog or outside dog?	House dog
People at home during the day?	Me
Where would dog eat?	kitchen
Where would dog sleep:	bed or crate (depending upon level of training)
Play & exercise:	fenced yard, walks, play care
How will you exercise your dog?	Both on leash and restrained to the yard
Fenced yard?	Yes, I have a fenced in yard.
Willing to pick up dog waste?	Yes, I will clean up after my dog.
Willing to use a crate?	6 ft. cedar privacy fence
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:	10, 4 X 8 ft. raised gardening beds (for my fun!), remainder of yard is gravel. I tell people I have the largets dog run in the city.
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?	Lois
Willing to train children?	yes
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, but I prefer lengthy, observed introduction/interactions first. All dogs are not necessarily friendly to all other dogs (just like our species)
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: