Untitled_1758 - Lakeshore Pembroke Welsh Corgi Rescue

Date & Referral Source
State:		Date of Application:	04/08/2018	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:	Any age	Gender preferred:	Either a Male or a Female	Color preferred:	Any color	Activity level:	Couch Potato, Outgoing, Quiet, Playful, Energetic, Very Active
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 friends who have a Corgi. Love his personality. Smart, Energetic. My son has a Corgi/Blue Healer mix. Most awesome dog ever. I currently own a female German Shepherd, Holly…the love of my life…but I work from home, and she thrives with a companion. When my sons dog is here, it is great. They play..keeps my Holly occupied. I am planning to add to the household with a Corgi because of their intelligence, general need of stimulation, activity level of my German Shepherd. I do not believe my German Shepherd would appreciate a dog her size…so the Corgi would be perfect.
Activities planned with Pembroke:	Currently have a completely fenced in back yard…that is totally trashed….hahaha. Always try to keep the landscape up…but hey…dogs do what they do. I have 2 herding balls…1 for outside and 1 inside. GREAT toy for the active dog. We have three parks within a 10 minute walk that we go to each day for running, sniffing and playing ball. We alternate so that it is not repetitive. Sometimes we do hide and seek in the house. But, generally Ball is life. Life is Ball. Holly, the German Shepherd, also goes to daycare every Wednesday, to help with the need for constant activity and stimulation.
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:	Encourage and praise good behavior. Anger in the voice and sternness with a NO
Discipline:	I do not use anger or meanness. Positive praise. I have my German Shepherd (there is a word that I can not think of) but I have the look at me…pay attention to me. Works great for awkward situations.
Where would Pembroke spend the majority of the time:	With me. I work from home 40 hours a week. ( my dog and my sons dog are at my feet right now.) Car rides everywhere. Hair balls everywhere.
Discipline:	I do not use anger or meanness. Positive praise. I have my German Shepherd (there is a word that I can not think of) but I have the look at me…pay attention to me. Works great for awkward situations. Where would Pembroke spend the majority of the time: With me. I work from home 40 hours a week. ( my dog and my sons dog are at my feet right now.) Car rides everywhere. Hair balls everywhere.
House dog or outside dog?	House dog
People at home during the day?	Yes…me.
Where would dog eat?	In the kitchen…..fancy restaurants ..not yet.
Where would dog sleep:	Wherever is best. My miniature Schnauzer slept. in her crate that I had turned into a nightstand. My Holly sleeps in bed with me.
Play & exercise:	Daily exercise. Already live it.
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?	The fence is a 5ft. Chain link. Completely enclosed.
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:	no swimming pools…just ground level patio with the attempts of landscaping around it.
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?	Me, Nancy Holoway
Willing to train children?	yup, when Grand Children are ever born…..
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?	Sure. Won't be in contact with the reptiles.
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: