Untitled_1957 - Lakeshore Pembroke Welsh Corgi Rescue

Date & Referral Source
State:		Date of Application:	08/03/2018	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:	3 years – 5 years, 5 years – 10 years	Gender preferred:	Either a Male or a Female	Color preferred:	Any color	Activity level:	Quiet, Playful
Other preferences:	My Vet is located near my home. Please feel free to call Clayview Animal Clinic at 574-272-7172 for a reference.
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?	Pembroke is for me. I had to put down my 15 year old Pembroke and I am so lonely for another best friend. Previously, I owned my first Corgi. Totally, I have owned two Corgis.
Why do you want a Pembroke?	I have owned two Pembroke Corgis and have learned from them. I know they are wonderful companions but the also need some training. Both of my dogs attended Obedience Training here in town plus the second one went into Agility training and was shown at a local 4H show.
Activities planned with Pembroke:	Attend Basic Obedience Training classes. Encourage other dogs to use my backyard( fenced) for s0cialization and play.
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:	and play
Discipline:	A foorceful "NO" and redirection
Where would Pembroke spend the majority of the time:	In The Home or out in the backyard for pottying and play
Discipline:	A foorceful "NO" and redirection Where would Pembroke spend the majority of the time: In The Home or out in the backyard for pottying and play
House dog or outside dog?	House dog
People at home during the day?	Yes. I am retired and might be gone for errands or a class.
Where would dog eat?	In my familyroom with me.
Where would dog sleep:	Hopefully, with me at the dog's choice.
Play & exercise:	Attend Training School or backyard play with me or other compatable dogs
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?	It is five feet high and is total coverage.Chain Linked.
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:	Completelt open except for an AC Unit and a one downspout.
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?	Jeanne Paver
Willing to train children?	Not Applicable
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?	Not a problem.
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: