Untitled_1312 - Lakeshore Pembroke Welsh Corgi Rescue

Date & Referral Source
State:		Date of Application:	07/28/2017	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:	0 months – 1 year (we rarely get dogs in this age group), 1 year – 3 years, 3 years – 5 years, 5 years – 10 years	Gender preferred:	Female, Either a Male or a Female	Color preferred:	Red & White, Any color	Activity level:	Couch Potato, Outgoing, Quiet, Playful, Energetic
Other preferences:	We would need a dog who is capable of going up and down steps
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?	Both
Why do you want a Pembroke?	We have had 2 Pembroke corgis in the past. One was a stray or abandoned. She was a wonderful dog. We loved her so much, we got another Corgi. He was probably a puppy mill corgi. He was great with adults, but he fought with our original corgi and we were afraid our child may end up getting hurt. We ended up contacting a rescue. He was rehomed and was a loved member of their family.
Activities planned with Pembroke:	Play with, take for walks around subdivision and downtown, possibly going to dog park,
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:	I would look at crate training for when dog was not able to be supervised until we were certain that he/she would not get into things. If he/she did get into things I would tell them no and remove them from the object/area. I would use food rewards as a way of training the dog to understand what the expectations are.
Discipline:	I would look at crate training for when dog was not able to be supervised until we were certain that he/she would not get into things. If he/she did get into things I would tell them no and remove them from the object/area. I would use food rewards as a way of training the dog to understand what the expectations are.
Where would Pembroke spend the majority of the time:	House or fenced in backyard
Discipline:	I would look at crate training for when dog was not able to be supervised until we were certain that he/she would not get into things. If he/she did get into things I would tell them no and remove them from the object/area. I would use food rewards as a way of training the dog to understand what the expectations are. Where would Pembroke spend the majority of the time: House or fenced in backyard
House dog or outside dog?	House dog
People at home during the day?	Many days someone is home at least part of the day. My husband is an insurance adjuster who works from home.
Where would dog eat?	Probably in the kitchen, but possibly in the laundry room
Where would dog sleep:	In our bedroom in our bed or own own dog bed
Play & exercise:	He/she would be taken for a walk daily, can run around our large backyard. Play time would usually either during my husband's lunch or after work
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
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 have a large fenced backyard and behind our house is a pasture where the neighbors have boarded horses (currently no horses)
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?	Laura & Chris
Willing to train children?	No young children at our house. Alysse is in college and is home during school breaks only starting in the fall
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?	We do not have other pets
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: