Untitled_1488 - Lakeshore Pembroke Welsh Corgi Rescue

Date & Referral Source
State:		Date of Application:	11/04/2017	Referred by:	Other
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	Gender preferred:	Either a Male or a Female	Color preferred:	Any color	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?	me
Why do you want a Pembroke?	What I love most about them is the corgi smile. I like that they are inquisitive and adaptable to most situations. My first was Skeeter (Buddy) in 2001 from Lakeshore. He was a handful but we got along great. He had been a stray at 7-ish months and took a bit of time to get used to others but we did good together. He died 11/2015 and I got Breanna because the breeder had died & her husband couldn't take care of all the dogs. She came to me 2 weeks after Skeet. She was the most laid back dog I've known. She died of liver disease 3 weeks ago.
Activities planned with Pembroke:	I've always taken my dogs for a before work walk and 1 or 2 after work walks. I have a decent yard for play. Depending on the dog, we've also walked in the woods.
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:	First a firm no, then a redirect to something he does right so there will be a positive outcome. Then try again.
Discipline:	If pulling while walking, I either stand still until my dog gives me his attention or do a turnabout. If too much barking, I say quiet and walk 'into' them so that they back away from whatever they are barking at.
Where would Pembroke spend the majority of the time:	When I'm at work, she would be gated in the family room. When I'm at home, she would be wherever she wants.
Discipline:	If pulling while walking, I either stand still until my dog gives me his attention or do a turnabout. If too much barking, I say quiet and walk 'into' them so that they back away from whatever they are barking at. Where would Pembroke spend the majority of the time: When I'm at work, she would be gated in the family room. When I'm at home, she would be wherever she wants.
House dog or outside dog?	House dog
People at home during the day?	no
Where would dog eat?	In the kitchen
Where would dog sleep:	My dogs have usually slept in my bedroom but sometimes they slept in another room as they got older. Sometimes they were on my bed, sometimes on the floor.
Play & exercise:	Morning and afternoon walks, backyard play, at my sister & BILs' house to play with their dogs, as long as everyone gets along. I have a great layout of my house for dogs to chase around.
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?	Vinyl fencing. Two side are partial private, one side is private. (the 4th side is the house)
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:	Maybe 33×40 feet of basically open space. There are plants along the fencing and 2 corners have native grasses and other plants dogs have a hard time destroying. None of which are known to be dangerous to animals.
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?	Sue
Willing to train children?	not applicable, but I do not let neighborhood children come up to my dog without first asking. If I know that child is not good with dogs, I don't let them touch mine.
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: