Untitled_1775 - Lakeshore Pembroke Welsh Corgi Rescue

Date & Referral Source
State:		Date of Application:	04/18/2018	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:	Couch Potato, Outgoing, Quiet, Playful
Other preferences:	I like to take my dogs with me as much as possible and also walk them. I'm not a highly energetic person, but I want a corgi who can meet people while walking, traveling, at parades, etc, but also can be a cuddler and quiet in the home when we are home. I do not want a dog who bites or barks incessantly.
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?	I adopted a 2-year-old pem 5 years ago. He was just delightful and fun. He loved everything and was sweet as he could be. The only thing he didn't like was riding in the car, but he loved it when we got to our destination. Unfortunately, I had to put him down in February due to an aggressive cancer. He had lymphoma and maybe hemangiosarcoma. I would like another corgi because I just adored my prior one.
Activities planned with Pembroke:	Take him to parent's farm, walk, sometimes go to parades. Take him to friend's houses. Let people meet and greet while out and about. Take him with me while traveling. I always get pet-friendly hotels to stay in so I can take him with me. Play in the yard. Play in the house. Cuddle. I never kenneled my prior pem. I only kenneled a prior dog once while I had to travel and hope to never do that again.
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:	Usually I would tell my prior pem to "Give me that" in a playful voice if he had something he wasn't supposed to. Or I would gently tell him no.
Discipline:	Voice commands only.
Where would Pembroke spend the majority of the time:	Inside with me when I'm home. Indoors or outdoors when I'm at work, whichever the dog prefers.
Discipline:	Voice commands only. Where would Pembroke spend the majority of the time: Inside with me when I'm home. Indoors or outdoors when I'm at work, whichever the dog prefers.
House dog or outside dog?	House dog
People at home during the day?	Some days yes. If I am not in court, the judge does not make me go to the courthouse and I am able to work from home. I work in a rural setting so I am not in court every day.
Where would dog eat?	In the kitchen
Where would dog sleep:	My bedroom. My prior pem preferred a little area with linoleum right inside my front door, so that's where he would often sleep.
Play & exercise:	I like to walk. We have one of the largest trail systems in America. It is tree lined and concrete and very nice. I also play with frisbees and balls. Sometimes tug-o-war. I would play with the dog and give it lots of attention and affection every day.
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?	50 x 60 chain link, 4 foot high
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:	3 bedroom ranch home on a slab. One small step up into the front of the house. One step outside back door and then one step off the stoop to the grassy backyard. I have an insulated dog house and a detached garage with the door always open.
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?	Karen Lyman
Willing to train children?	N/A
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?	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: