Untitled_1451 - Lakeshore Pembroke Welsh Corgi Rescue

Date & Referral Source
State:		Date of Application:	10/13/2017	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:	Either a Male or a Female	Color preferred:	Red & White, Sable & White	Activity level:	Couch Potato, Outgoing, Quiet, Playful
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 a corgi right now who is 13 and was a rescue. I got him when he was around 2, and he has been the best and most faithful dog ever. I love that corgis are intelligent and independent. I love that they are funny. My dog became ill this week, and I have to have him put down tomorrow. I can't imagine my life without him, but I think giving love to a new corgi would help.
Activities planned with Pembroke:	We would walk a lot. I would also like to be able to travel and camp.
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 have found that positive rewards work best with corgis. Reinforce good behavior and redirect with mistakes.
Discipline:	I always try to redirect. Occasionally, I have had to be quite firm because my corgi could get a little pushy from time to time.
Where would Pembroke spend the majority of the time:	With me! In the house or with me int he yard, or walking the neighborhood.
Discipline:	I always try to redirect. Occasionally, I have had to be quite firm because my corgi could get a little pushy from time to time. Where would Pembroke spend the majority of the time: With me! In the house or with me int he yard, or walking the neighborhood.
House dog or outside dog?	House dog
People at home during the day?	No, but my parents have been pretty faithful about walking my dog at lunch time. As a teacher, I have summers off and other vacations to spend with my dog.
Where would dog eat?	In my kitchen
Where would dog sleep:	In a dog bed, or wherever the dog feels most comfortable.
Play & exercise:	Typically, I find that corgis love daily walks. They also enjoy time to roam in the yard. It depends on the dog and its age how much playing and exercising. But I am a regular walker.
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?	I have a chain link fence around my back yard.
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 yard is pretty typical–trees, a raised garden, but no swimming pool.
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?	Anne Keller
Willing to train children?	I have no children, but I do have children who visit from time to time. I always explain to them how to treat my dog with respect and distance. My corgi was not particularly fond of children, but he would tolerate them if given some distance.
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: