Untitled_1533 - Lakeshore Pembroke Welsh Corgi Rescue

Date & Referral Source
State:		Date of Application:	12/02/2017	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:	0 months – 1 year (we rarely get dogs in this age group), 1 year – 3 years	Gender preferred:	Female	Color preferred:	Any color	Activity level:	Couch Potato, Outgoing, Quiet, Playful, Energetic, 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?	My husband and I are retired and live in a townhome in the South Loop in Chicago. We had a wonderful male Pembroke corgi who died two years ago. We miss him and his sweet personality but would like to have a female this time. We are going to move to Oregon in about a year to be near our oldest daughter who is starting to have kids. We'd like a pet who is good with small children. Our new home will be on one level and has a large yard.
Why do you want a Pembroke?	We had our Corgi, Toby, for 12 years. He was 4 months when we got him and we had a female puppy blood hound then, too, for about a year. They would howl in the morning together! It was hilarious and sweet. After our blood hound left, Toby was our only dog, although we had cats, a rabbit and guinea pigs for a while. Toby was smart, friendly and always looking for treats. He liked to play soccer with his soccer ball. He didn't get on beds and only on furniture if another dog did! He was not snappish unless he was in pain. He had health problems in the last few years and could not process protein. He had an undersized liver and that presented problems that eventually lead to his death. We were so sad.
Activities planned with Pembroke:	Play with a soccer ball, go for long walks, pet him a lot…
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?	No
Vet contact info:
Will handle mistakes Pembroke makes like this:	This really depends on the mistake. Generally, mistakes should be acknowledged and then the dog shown the proper action, that is what she/he should have done. If it is a problem that is a continuing temptation (ex. barking at the Christmas tree), then removing the dog from the temptation unless someone is there to monitor is a good idea.
Discipline:	Again, this depends. It might mean withholding a treat or putting the dog in his/her cage for a short period.
Where would Pembroke spend the majority of the time:	With us. But at night, we would keep her/him in his/her cage.
Discipline:	Again, this depends. It might mean withholding a treat or putting the dog in his/her cage for a short period. Where would Pembroke spend the majority of the time: With us. But at night, we would keep her/him in his/her cage.
House dog or outside dog?	House dog
People at home during the day?	Yes, both my husband and I
Where would dog eat?	Kitchen or utility room
Where would dog sleep:	Her/his cage
Play & exercise:	We would give walks 2-3 times a day. We also would throw balls and push a soccer ball around. There also might be play dates with other dogs in the neighborhood.
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?	Wrought iron bars, about 6 feet high. There is a running area along the side of the fence closest to the sidewalk and there are vines on the fence.
Living arrangements:	Own home
Landlord info:
May we contact your landlord?
Lease allow dogs:
Landlord permission:
Restrictive covenants?	No, the condo covenants do not prevent me from having a dog.
Breed/size restrictions?	No
Description of yard:	Currently we have a small backyard that is 3/4 covered in tile. The large living room windows look out on the yard. When we move to Oregon, we will have a larger yard but no 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?	Margaret Klinkow Hartmann
Willing to train children?	Yes
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?	N/A
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: