Untitled_1422 - Lakeshore Pembroke Welsh Corgi Rescue

Date & Referral Source
State:		Date of Application:	09/29/2017	Referred by:	Friend
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:	Either a Male or a Female	Color preferred:	Any color	Activity level:	Couch Potato, Outgoing, Quiet, Playful, Energetic, Very Active
Other preferences:	We have two cats, Which we want to take into consideration as well since it would disrupt their life ! They are friendly and outgoing animals. They work well when my mom brings over her little dogs, but if their is a corgi that particular doesn’t like cats, we would want to avoid.
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?	Our family. We have a daughter and son. Our daughter is 12 and our son is 20 months. We would need a dog that is friendly with children.
Why do you want a Pembroke?	Our daughter is obsessed with corgis. She is on websites searching for corgies , drawing them, she even has corgi socks…. we happened to stop at a rest place and there was a corgi. We got to play with her and pet her seeing how friendly they are and social. They are a very loveable animal!
Activities planned with Pembroke:	Camping, hiking, walking, playing outside and 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?	Yes
Vet contact info:
Will handle mistakes Pembroke makes like this:	We will use positive reinforcement techniques
Discipline:	Positive reinforcement, for example if he continues to jump a lot when we are getting food ready… we stop making the food and wait until he listen and sits and then reward the good behavior.
Where would Pembroke spend the majority of the time:	With his family. When we are gone at work, he/she will be with the kitties.
Discipline:	Positive reinforcement, for example if he continues to jump a lot when we are getting food ready… we stop making the food and wait until he listen and sits and then reward the good behavior. Where would Pembroke spend the majority of the time: With his family. When we are gone at work, he/she will be with the kitties.
House dog or outside dog?	House dog
People at home during the day?	He would be outside and inside dog. No, we have family that are retired next door that will come over when ever we ask.
Where would dog eat?	In the pantry/laundry room
Where would dog sleep:	Inside our room or with our daughter
Play & exercise:	Everyday he will be excercised and played with.
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:	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:	Huge open yard. Some trees, playground, trampoline, woods, dirt roads
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?	Haddy Aker
Willing to train children?	Always. That is one of my biggest sadness and potentially how animals and kids can get hurt.
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, we did this process when we rescued our cat, Aslan
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: