Untitled_2016 - Lakeshore Pembroke Welsh Corgi Rescue

Date & Referral Source
State:		Date of Application:	09/10/2018	Referred by:	Breeder
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, 5 years – 10 years, 10 years +, Any age	Gender preferred:	Female	Color preferred:	Red & White, Red Headed Tri, Black Headed Tri, Sable & White, Any color	Activity level:	Other (Please describe in the box below.)
Other preferences:	Would like a dog what wants to be touched, is friendly or the potential to be friendly, can have a disability/injury, should have good fur coat as we live where it gets cold in winter and we enjoy winter walks.
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?	The corgi would be for me mostly but my husband is a big fan as is my son (who is 35).
Why do you want a Pembroke?	We have owned 3 and just had to have our last one put to sleep in April 2018 as she had kidney failure at age 12. We had a single female in the 2000s and when she passed we got a pair of puppy sisters. One died 2 years ago and the other this past April. We love corgis – my son has one also – we love their energy, their love and personalities. They are happy and fun loving and yet cuddle – we have loved them so very much –
Activities planned with Pembroke:	We live in the Northwoods with lots of property. We live on a beach and our other corgis liked to stand in the water to their bellies in the hot summer, but they really loved to place on the beach in the sand playing this crazy game they invented, one would act like a bull and scrape the sand, the other would down the beach and then make an unexpected run at the first one – they wouldn't hit but they'd roll around so cute to watch – I wish I had a video of it. We love to walk so the dog would get lots of exercise.
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:	At first just gently repeat the exercise or if it is like an accident in the house, clean it up, and take the dog outside. Then watch the dog back in the house and make sure it has many times to go outside and reward when the dog goes to the bathroom outside with a small treat and much verbal response.
Discipline:	Simple no or a 'tisk' verbal sound. Keep on leash until outside commands are obeyed.
Where would Pembroke spend the majority of the time:	We usually have a crate so the dog can feel safe – our others corgis all slept in their crate with door open at night. We usually give them run of the house.
Discipline:	Simple no or a 'tisk' verbal sound. Keep on leash until outside commands are obeyed. Where would Pembroke spend the majority of the time: We usually have a crate so the dog can feel safe – our others corgis all slept in their crate with door open at night. We usually give them run of the house.
House dog or outside dog?	House dog
People at home during the day?	yes one of us is almost always home.
Where would dog eat?	In the kitchen
Where would dog sleep:	In a crate with blankets and most likely next to my bed.
Play & exercise:	My husband and I are walking fit-bit nuts so we try and get 5 miles of walking in minimum a day. We have a beautiful trail through the our back woods, or we can walk the beach or the dirt road.
How will you exercise your dog?	On leash
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?	Not applicable
Breed/size restrictions?	No
Description of yard:	We own 10 acres, much of the property is wooded and with a trail system we made. We also can walk the dirt road or down to the beach and walk along that for over .5 miles.
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?	Nancy A Auer
Willing to train children?	No children around but I have worked with our grandchild and with her parents when she teases her own corgi.
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 applicable
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: