Untitled_2024 - Lakeshore Pembroke Welsh Corgi Rescue

Date & Referral Source
State:		Date of Application:	09/20/2018	Referred by:	Veterinarian
Contact Information
First name:		Last name:		First name 2:		Last name 2:
Address
Street:
City:			State:		Zip:
Type of Dog Wanted
Ages interested in:	Any age	Gender preferred:	Male, Female, Either a Male or a Female	Color preferred:	Red & White, Any color	Activity level:	Outgoing, Playful, Energetic, Very Active
Other preferences:	I HAVE BEEN A RESPONSIBLE DOG OWNER SINCE I WAS A TEENAGER…….ALSO HAD 2 CATS FOR 18 1/2 YEARS AND 15 YEARS OLD……AT PRESENT AM A EMPTY NESTER……..
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?	FOR MYSELF……JUST LOST MY MALE WELSH CORGI SWEETIE ON JULY 28TH. 2018……HE WAS 13 YEARS OLD…….LOST MY FEMALE WELSH CORGI IN 2014…..SHE WAS 10 1/2…….LOST MY OTHER MALE CORGI IN 2003 FROM CANCER…HE WAS 5 1/2 YEARS OLD………LOOKING FOR A FEMALE WELSH CORGI AND A MALE CORGI……..WOULD LIKE TO GET 2 CORGI'S IF POSSIBLE…….WOULD LIKE A FEMALE FIRST…….I REALLY LOVE CORGI'S JUST LIKE QUEEN ELIZEBETH DOES……
Why do you want a Pembroke?	HAVE HAD CORGI'S SINCE 1983……..LOVE CORGI'S……..THEY ARE SO SMART, ENERGTIC, PLAYFUL AND VERY LOVING, MY CORGI'S GO WHERE EVER I GO……..ALL OF MY CORGI'S LOVED CAR RIDES……….I LOVE THE SMALL BREED WITH THE LARGE ATTITUDE………..
Activities planned with Pembroke:	I DO ALL KINDS OF ACTIVITES………DAILY WALKS, GOING TO THE PARK AND DOG PARK, VISITING RETIREMENT HOMES, REGULAR VET CHECKS, PLAYING BALL, HOURS OF EAR RUBS AND PATS, SUMMER SWIMMING IN KIDDY POOL, HAVE FENCED YARD–LARGE YARD………..LOTS OF DOG TOYS FOR INSIDE ACTIVITY……..
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 MISTAKE………GENTLE HANDLING….NO SCREAMING OR PHYSICAL ABUSE……….USUALLY A STERN VOICE ALWAYS WORKED……..
Discipline:	PRAISE FOR GOOD THINGS THE CORGI DOES……….GENTLE TALKING USING NO NO….CORGI'S ARE SO SMART IT DOES NOT TAKE MUCH TO DISCIPLINE AT ALL…………..THEY ARE VERY INTELLIGENT DOGS AND LEARN A PERSONS HABITS QUICKLY……….
Where would Pembroke spend the majority of the time:	WITH ME……….MY CORGI'S GO WITH ME ALWAYS UNLESS I GO TO A PLACE THAT DOES NOT ALLOW DOGS………IF LEFT HOME THE CORGI'S ARE IN THE HOUSE……….MY CORGI'S ARE INSIDE DOGS……..DO NOT BELIEVE IN OUTSIDE DOGS……
Discipline:	PRAISE FOR GOOD THINGS THE CORGI DOES……….GENTLE TALKING USING NO NO….CORGI'S ARE SO SMART IT DOES NOT TAKE MUCH TO DISCIPLINE AT ALL…………..THEY ARE VERY INTELLIGENT DOGS AND LEARN A PERSONS HABITS QUICKLY………. Where would Pembroke spend the majority of the time: WITH ME……….MY CORGI'S GO WITH ME ALWAYS UNLESS I GO TO A PLACE THAT DOES NOT ALLOW DOGS………IF LEFT HOME THE CORGI'S ARE IN THE HOUSE……….MY CORGI'S ARE INSIDE DOGS……..DO NOT BELIEVE IN OUTSIDE DOGS……
House dog or outside dog?	House dog
People at home during the day?	YES………..USUALLY 2 OF US………..AM RETIRED………
Where would dog eat?	I HAVE A SPECIAL PLACE IN THE HOUSE……….
Where would dog sleep:	IN MY BEDROOM WITH ME IN THEIR DOGGIE BED NEXT TO MY BED AND SOMETIMES IN BED WITH ME……….MY CORGI'S ARE MY CHILDREN AND TREATED LIKE A FAMILY MEMBER………
Play & exercise:	ALOT AS THEY ARE VERY ACTIVE DOGS……….PLAYING IN THE YARD I SPEND HOURS PLAYING WITH MY CORGI'S……….
How will you exercise your dog?	On leash
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?	REGULAR CHAIN LINK FENCE……5 FEET HIGH…..VERY LARGE FENCED 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:	ONLY A VERY SMALL KIDDIE POOL THAT ONLY HAS WATER IN IT IF I AM WITH THE DOGS ON THE PATIO………..ONLY HOLDS ABOUT 2 INCHES OF WATER……..IS EMPTIED WHEN I AM NOT IN THE YARD……MY FEMALE CORGI LOVED THE WATER BOBBING FOR HER FLOATING BALLS……..MT MALE CORGI HATED THE WATER…..HE DID NOT LIKE GETTING HIS PAWS WET AT ALL…..
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?	Kenneth Latwinski
Willing to train children?	NO CHILDREN IN THE HOME
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?	HAVE NO OTHER PETS AT THIS TIME
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: