Untitled_1445 - Lakeshore Pembroke Welsh Corgi Rescue

Date & Referral Source
State:		Date of Application:	10/08/2017	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:	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've had 2 corgis in our family, both with different personalities and both were so much fun.
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?	Family, 2 adults (John and Jennifer) and 2 kids
Why do you want a Pembroke?	We love corgis because they are so friendly and loving. They have great personalities and fit into our family well. Corgis are fun to play with and pet (especially when they roll on their side and we can rub their tummy). They are so cute and we love corgi smiles!
Activities planned with Pembroke:	Depending on the dog, throw a ball, walks to the school bus stop, take them for walks, definitely a lot of petting, visit grandma.
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:	Verbal scolding and praise when he does well
Discipline:	Telling him no in a firm voice. Being consistent.
Where would Pembroke spend the majority of the time:	Inside our house.
Discipline:	Telling him no in a firm voice. Being consistent. Where would Pembroke spend the majority of the time: Inside our house.
House dog or outside dog?	House dog
People at home during the day?	Yes
Where would dog eat?	Kitchen.
Where would dog sleep:	Bedroom floor/dog bed or crate if he felt more comfortable or secure in there.
Play & exercise:	Morning walks to the school bus stops, playing ball in the backyard, walks around the neighborhood.
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:	On a dead end street, back yard abuts a wooded nature preserve.
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?	Jennifee McKenna
Willing to train children?	Yes. Both children have had corgi "brothers" their entire lives and know how to love and take care of corgis.
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. Turtles are in their own aquarium, out of reach for a dog.
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: