Untitled_1902 - Lakeshore Pembroke Welsh Corgi Rescue

Date & Referral Source
State:		Date of Application:	06/28/2018	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:	Female	Color preferred:	Red & White	Activity level:	Outgoing, Quiet, Playful, Energetic
Other preferences:	I live in a condo with a small yard
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. I adopted my Welsh Pembroke Corgi, Amber, in 2011 and she was 8 years old. I enjoyed her company and companionship for 7 years. I recently had to make the heartbreaking decision to put her to sleep as her abilities were declining and she was in pain in her hips and her back legs. She had stopped eating and I was carrying up and down stairs to keep her near me and taking her outside for her to pee, etc. I would love to adopt a white and tan Corgi.
Why do you want a Pembroke?	I love the Pembroke Welsh Corgi's Body shape and especially their personality. Loving and curious and eager to please.
Activities planned with Pembroke:	I would love to walk her, take her on trips with me, have her supervise me as I work in my yard or watch me clean my house.
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:	talk to them in a stern voice
Discipline:	voice command
Where would Pembroke spend the majority of the time:	At my Condo
Discipline:	voice command Where would Pembroke spend the majority of the time: At my Condo
House dog or outside dog?	House dog
People at home during the day?	Sometimes
Where would dog eat?	Dry dog food
Where would dog sleep:	In my bedroom
Play & exercise:	I will play with her during the day and walk her in the evening
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?	No
Description of yard:	I live in a condo
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?	Sharon Heskitt
Willing to train children?	Yes
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: