Untitled_1340 - Lakeshore Pembroke Welsh Corgi Rescue

Date & Referral Source
State:		Date of Application:	08/14/2017	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	Gender preferred:	Male	Color preferred:	Any color	Activity level:	Outgoing, Playful
Other preferences:
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 our family and for our 16 year old son (who really wants a Corgi for his own)
Why do you want a Pembroke?	Our son Dylan (16 years old) wants a dog that will sleep with him and will be his dog once he finishes college. Dylan has researched Corgis and finds them very cute and outgoing and is a very smart breed. We have friends with Corgis and have always thought that they are little dogs with a "big dog" personality.
Activities planned with Pembroke:	Daily walks and jogging, playing fetch, agility training, coddling.
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:	Tell the dog no and try again
Discipline:	Tell the dog no, and then to sit or lay down.
Where would Pembroke spend the majority of the time:	At home with our other dog Maggie and two cats.
Discipline:	Tell the dog no, and then to sit or lay down. Where would Pembroke spend the majority of the time: At home with our other dog Maggie and two cats.
House dog or outside dog?	House dog
People at home during the day?	No, except during the summer.
Where would dog eat?	In the kitchen.
Where would dog sleep:	Initial crate training and then in our son Dylan's room.
Play & exercise:	Daily walks, weekend adventures, local dog parks and hiking trails, lots of dog toys all over the house. Quality time with the family, trips up north to our cabin, evening cuddling.
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:	Large back yard at the edge of town with lots of nice places to walk our dogs including county parks, country roads, and neighborhood streets.
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?	Dylan Pierce
Willing to train children?	Yes
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: