Untitled_1907 - Lakeshore Pembroke Welsh Corgi Rescue

Date & Referral Source
State:		Date of Application:	07/02/2018	Referred by:	Other
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:	Either a Male or a Female	Color preferred:	Any color	Activity level:	Outgoing, Playful, Energetic, Other (Please describe in the box below.)
Other preferences:	I really am looking for a younger Corgi as the two Cardigans I have now are in their teens and I do not want to go through the heartache of adding another senior to the mix.
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:
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Questions Regarding Motivation for Adopting and Intentions
Who is this dog for?	Me
Why do you want a Pembroke?	My first dog that I owned on my own was Porter, Pembroke Welsh Corgi, also known as Northwynd's Fungo Get Fuzzy. We did OB, rally, tracking and herding together. He was my heart dog. I lost him tragically and mourned for him for a long time. It hurt too much to think of having another Pem. I had a Cardigan at the time and added another Cardigan. I am ready for another Pembroke and the breeder I really wanted to get another Pem from is likely not to have another litter.
Activities planned with Pembroke:	Herding activities would be the top function. I would also be looking at Rally, Tracking, Barn Hunt and other activities to keep him/her active and bonding with me.
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:	Depends on the situation–Usually I use a distraction noise (usually by voice Uh-uh) then redirect to more appropriate thing.
Discipline:	Primarily use positive reinforcement–praise, treats.
Where would Pembroke spend the majority of the time:	In our house. Live with two sisters and with our schedules, there is almost always someone home with the dogs. Once we see how a new member to the household does, they have access to the house but we can barrier certain areas for them to earn the right to full house access.
Discipline:	Primarily use positive reinforcement–praise, treats. Where would Pembroke spend the majority of the time: In our house. Live with two sisters and with our schedules, there is almost always someone home with the dogs. Once we see how a new member to the household does, they have access to the house but we can barrier certain areas for them to earn the right to full house access.
House dog or outside dog?	House dog
People at home during the day?	Yes there is usually one person home during the day, sometimes two.
Where would dog eat?	If crate trained, likely in its crate until we see how things work with other dogs in house. They eat in the kitchen area but separated in their own special areas for eating their meals.
Where would dog sleep:	Again if crated trained, likely in their crate. Current Corgis–one likes to sleep in his crate or in front of it on his dog bed. My girl has a dog bed on my bed and sleeps with me. I would allow sleeping on the bed as long as they do not seem to have possessive tendencies. They would need to earn the trust to have bed privileges.
Play & exercise:	We try and get out at least twice a day for walks as long as the weather is good. We do have a small fenced in yard but also have some areas we can go that allow them to run a bit. We do have some 'mind' games for indoor play when we are not able to get outside and run.
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?	Chain link fence about 4 feet high, 2 gates. Area is approximately 30 x 15 feet.
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:	It is about 1/4 acre with small fenced in yard. No real fixtures otherwise. It is an elevated ranch style home and does require going up about 8 steps to get inside. Using a ramp on back stairs to help with older Corgis to get up and down.
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?	Colleen Maney–ME
Willing to train children?	We do not have any children but do have them for neighbors. We have worked with them when out with our Cardigans and would do so with any new member that comes into our home.
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–Twitch gives leeway to any dogs but will interact with them playfully if they are nice to him. He is older and does have some medical issues so he is not as active as he used to be.
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: