Untitled_1419 - Lakeshore Pembroke Welsh Corgi Rescue

Date & Referral Source
State:		Date of Application:	09/27/2017	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	Gender preferred:	Either a Male or a Female	Color preferred:	Red & White, Red Headed Tri, Sable & White, Any color	Activity level:	Couch Potato, Quiet, Playful, Other (Please describe in the box below.)
Other preferences:	Need a dog that is great with children (my son is 7) and cats.
Dog Ownership History
Previous dog owner?	No
	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?	Myself and my son
Why do you want a Pembroke?	I love the size and the way they look. They are very sweet dogs and their fur is fluffy. I have done research and am aware they need regular exercise and grooming. I would also purchase doggy steps to help get on the couch and bed so they don't over exert their legs.
Activities planned with Pembroke:	Take him/her to puppy parks, play in the big field behind our house, cuddle, go for walks, play with toys inside.
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:	If it's a potty mistake there is not much that can be done except to take the dog outside and be sure the dog is taken out on a regular schedule. If it's because it chewed something up; I would show the dog the item and say no at the same time.
Discipline:	See previous question.
Where would Pembroke spend the majority of the time:	Inside.
Discipline:	See previous question. Where would Pembroke spend the majority of the time: Inside.
House dog or outside dog?	House dog
People at home during the day?	Yes. I work from home.
Where would dog eat?	In the kitchen/dining room.
Where would dog sleep:	Wherever they feel most comfortable.
Play & exercise:	Daily walks. Dog parks. We have a huge open field behind our house that we can play in.
How will you exercise your dog?	Both on leash and restrained to the yard
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:	Rent/lease home
Landlord info:
May we contact your landlord?
Lease allow dogs:	Yes, my lease permits dogs.
Landlord permission:	Yes, my landlord is fine with me owning a Pembroke
Restrictive covenants?	No, the condo covenants do not prevent me from having a dog.
Breed/size restrictions?	Yes
Description of yard:	I live in a townhouse with a patio in te back and a huge open field we are allowed to play in.
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?	Candace Dent
Willing to train children?	Yes. We have a cat and he is very careful of her.
Any allergies?	No one is allergic.
Current pets:
Current pets dog friendly?	No, some of our current pets are not friendly toward dogs
Are you willing to work on it if your new dog doesn’t get along with your current pets right away?	She has never been around a dog so there is going to be an adjustment period and take time to introduce them to each other properly.
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: