Untitled_2141 - Lakeshore Pembroke Welsh Corgi Rescue

Date & Referral Source
State:		Date of Application:	12/12/2018	Referred by:	Website, 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)	Gender preferred:	Either a Male or a Female	Color preferred:	Red & White, Sable & White, Any color	Activity level:	Couch Potato, Outgoing, Quiet, Playful
Other preferences:	My daughter was recently diagnosed with anxiety and depression, her hamster recently passed and she's in a fairly new school. She has wanted a Corgi for years. After researching several breeds including Pembroke and Cardigan Corgi's she felt strongly the Pembroke temperment matched hers. We have other pets and that's my reason for wanting as young a dog as possible for that early socialization. We have cats(2 rescued), as well as 1 of each: bunny, bird, bearded dragon. There's alot of love in our home and we'd like to share that with my daughters favorite breed, a Pembroke Welsh Corgi. This is the only thing on her Christmas wishlist.
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?	My youngest daughter in particular, but for the whole family as well.
Why do you want a Pembroke?	I touched on this in the previous section. This puppy would be for my daughter who was recently diagnosed with anxiety and depression. School hasn't been kind to her in the past. Also get hamster recently passed. She has loved the PC breed for years and we have researched it and taken all kinds of dog breed tests to confirm what she already knew, this is her dog breed. Not far from our home, in Evanston Il there is a population of PC's we see being walked often. That's where most of our interaction is primarily from.
Activities planned with Pembroke:	My daughter isn't the most athletic, by choice. However she loves going on walks, drawing, taking pictures in nature, and watching YouTube. Her Corgi would be her best friend, literally. Her 4 legged shadow. I think she'd tap into her athletic side more intentionally with the aid of her Corgi. On top of that, she's drown it in affection.
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?	No
Vet contact info:
Will handle mistakes Pembroke makes like this:	Positive reinforcement.
Discipline:	Positive reinforcement, aka treats and head rubs.
Where would Pembroke spend the majority of the time:	Wherever my daughter was, her room, the family room, the living room.
Discipline:	Positive reinforcement, aka treats and head rubs. Where would Pembroke spend the majority of the time: Wherever my daughter was, her room, the family room, the living room.
House dog or outside dog?	House dog
People at home during the day?	Yes
Where would dog eat?	Kitchen
Where would dog sleep:	My daughter's room
Play & exercise:	Daily, backyard, neighborhood, with my daughter.
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?	Typical suburban chain link fence
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:	Small water fountain, patio, grass area, completely fenced, large size.
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?	Myself, Amanda Richardson and my daughter Lexxy.
Willing to train children?	My children have been around animals their entire lives. They practice being humane with humans and animals in everything they do.
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: