Untitled_1891 - Lakeshore Pembroke Welsh Corgi Rescue

Date & Referral Source
State:		Date of Application:	06/24/2018	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:	0 months – 1 year (we rarely get dogs in this age group), 1 year – 3 years, 3 years – 5 years	Gender preferred:	Female	Color preferred:	Any color	Activity level:	Couch Potato, Outgoing, Quiet, Playful
Other preferences:	Handicaped
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. Diane Tackett
Why do you want a Pembroke?	I had corgi female , she developed mass on liver and nodules on lings. she was 11 and half years old. due to difficulty breathing I had her put down..I had her since she was 10 weeks old. Best dog I ever had. I live alone and I would like to get another welsh corgi. I have always been a dog lover and corgi is only breed that I would be interested.
Activities planned with Pembroke:	I Have just under an acre of ground with invisible fence..She would be able to run the whole are if she wants to. Play ball, and some walking.
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 bring her to the mistake and tell her this is a no no,
Discipline:	voice commands, I do not believe in whipping a dog. Just correct them by talking to them in a more stern voice .
Where would Pembroke spend the majority of the time:	In House, yard, car, sometimes boat,but with me.
Discipline:	voice commands, I do not believe in whipping a dog. Just correct them by talking to them in a more stern voice . Where would Pembroke spend the majority of the time: In House, yard, car, sometimes boat,but with me.
House dog or outside dog?	House dog
People at home during the day?	yes
Where would dog eat?	Kitchen
Where would dog sleep:	In her bed in my bedroom
Play & exercise:	Everyday would have run of yard and ball playing, tug of dog toys rope when not able to go out play in house. Walk when able .
How will you exercise your dog?	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?	Invisible fence for side and back yard , not in front yard.
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:	Stand alone garage, trees .
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?	Diane Tackett
Willing to train children?	Only have Grandchildren at times. They have already been instructed on how to treat dogs.
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?	No other pets in the home
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: