Untitled_1636 - Lakeshore Pembroke Welsh Corgi Rescue

Date & Referral Source
State:		Date of Application:	02/06/2018	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, 5 years – 10 years	Gender preferred:	Either a Male or a Female	Color preferred:	Any color	Activity level:	Outgoing, Playful, Other (Please describe in the box below.)
Other preferences:	Potty trained, loves to be petted and even sleep on owner's bed at times! Our daughter is a veterinarian and we take very good care of our animals…ACL's have been repaired on all our dogs…the first 2 puppies when we got them, our last dog who just died on 1/16/18 was a 2 year old rescue dog.
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?	Both of us!
Why do you want a Pembroke?	We have had nothing but Corgis….My husband was born in England and immigrated to the US…Corgis being the "Queen's dog" are his connection to his country of birth. We would LOVE a Pembroke with a tail now that the UK as prohibited tail docking YEAH!!!). We love that they are substantial dog yet smaller, smart and their personalities as herding dogs are delightful, spunky…all of ours have been highly food motivated and therefore we have found them easy to train.
Activities planned with Pembroke:	Walking/Hiking, water/swimming
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:	Verbally say "no"…if a potty mistake take the dog outside to try again, control pet's environment to help them be successful and safe, consistency, practice/practice/practice, , reward good behavior with petting and treats but WE are the boss,
Discipline:	NO hitting, but will use louder voice and sharp "no", may ignore unwanted behavior if it is attention seeking,
Where would Pembroke spend the majority of the time:	Inside our home, dog bed in our bedroom and living room
Discipline:	NO hitting, but will use louder voice and sharp "no", may ignore unwanted behavior if it is attention seeking, Where would Pembroke spend the majority of the time: Inside our home, dog bed in our bedroom and living room
House dog or outside dog?	House dog
People at home during the day?	Yes…we are both retired now. If we travel without our dog we always hire an in-home sitter.
Where would dog eat?	in our kitchen
Where would dog sleep:	in our bedroom at night, may sleep in living room during the day….depending on their behavior and need to control same we are prepared to crate the dog and would do so initially to see how they respond…..particularly if they are used to this as we would like a rescue Corgi.
Play & exercise:	We have many off-leash parks in the Twin Cities and hope our dog would be able to enjoy other dogs safely and/or be fit enough (no worries re: hips/knees and running) to allow them to have this free experience….but as our dogs aged we kept them more on the leash or restrained in our yard for their safety and comfort.
How will you exercise your dog?	Both on leash and restrained to the yard
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?	No, the condo covenants do not prevent me from having a dog.
Breed/size restrictions?	Yes
Description of yard:	We live in a sidebyside twin townhome. Our Townhome is adjacent to a lovely park and walking path for the shorter walks my husband likes , and we have a walkout basement and patio where we can leash our dog to enjoy the outdoors and go potty during good weather and while we are outside gardening/barbequeing etc.. No particular fixtures to report.
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?	Equal between Peter and Kathy but Peter will likely be home more.
Willing to train children?	We have 7 Grandchildren…..all of whom have dogs and care for them! Ages 10 months to 10 years) Two have a Corgi themselves! We feel VERY confident in the children who come into our house and their ability to properly care for/treat and support our pets…and OUR responsibility to protect our one baby grandchild as he learns about our dog. Our 10 month old grandchild lives with 2 large dogs now.
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?	The two animals above currently live with us but will be moving out Sept. 1, 2018. Our Veterinarian daughter is their owner and she is building a house that will be ready then. Our Corgi's have ALWAYS had a period of antithesis to our other family dogs…..but have ALWAYS adapted with support when our family dogs have stayed with us.
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: