Untitled_1498 - Lakeshore Pembroke Welsh Corgi Rescue

Date & Referral Source
State:		Date of Application:	11/13/2017	Referred by:	Website, 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:	0 months – 1 year (we rarely get dogs in this age group), 1 year – 3 years, 3 years – 5 years	Gender preferred:	Male	Color preferred:	Any color	Activity level:	Other (Please describe in the box below.)
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 had 4 AKC Pembrooke Welsh Corgis at one time & have used the Same Vet for All I lost My Moso Loyal & Beloved Corgi on February 03 2017 I Still have Stanley with Me as I had Him Cremated… I have had Many Different Dogs All My Life Since Childhood & Rescued most of them which I Prefer!! IPurchased 3 Corgi Pups Different Years Same Breeder No Longer Breeding & Rescued Stanley at Age 4 !! I fell in Love with the Loyalty Intelligence & Work/Playfullness of The Breed!! I've wanted another Corgi ASAP when Stanley Paseed Away Almost 14 Years Old but I Grieved His loss So Much that I Did not want to Compare Another Corgi to Stanley!! I'm finally ready to Adopt another Corgi!! I Literally have Seperation Anxiety from not having a Dog but I want a Corgi!! Hard to find these days as they are Popular Now!! I still miss My Best Friend/Child & Always will….
Activities planned with Pembroke:	Playing ball I would Love to Do Herding & Agilitly for Fun!! Most of All I will Love & Care For My Corgi for It's Lifespan…I'm home Almost Always & If not I Will Bring My Corgi with Me…
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 Redirect the Dog & Re-Enforce the correct Behavior
Discipline:	Talk Onl or Yell if they are in harms way!! NEVER HURT HIT SPANK SWAT ETC ITS CRUEL VOILENCE BREDS VIOLENCE!!!
Where would Pembroke spend the majority of the time:	Always in My Home Always with Me
Discipline:	Talk Onl or Yell if they are in harms way!! NEVER HURT HIT SPANK SWAT ETC ITS CRUEL VOILENCE BREDS VIOLENCE!!! Where would Pembroke spend the majority of the time: Always in My Home Always with Me
House dog or outside dog?	House dog
People at home during the day?	Just Me
Where would dog eat?	In Kitchen Area Never Feed From Table!!
Where would dog sleep:	In Bed With Me Not Under Covers/Blankets!!
Play & exercise:	Walking/Dog Park/Possibly Herding & Or Agility Training for Fun & Exercise Also My Corgis Loved Playing Ball Fetch/Catch & Return lol
How will you exercise your dog?	On leash
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:	Non-fenced Clean Lots of Grass Loads of Flowers/Shrubs
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?	Janine Ella Smith-Bass
Willing to train children?	Yes Our Son Loves Corgis & Loves to Snuggle & Love on them
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: