Untitled_1477 - Lakeshore Pembroke Welsh Corgi Rescue

Date & Referral Source
State:		Date of Application:	10/27/2017	Referred by:	Other
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	Gender preferred:	Either a Male or a Female	Color preferred:	Any color	Activity level:	Outgoing, Playful, Energetic
Other preferences:	We own 2 older dogs, Golden retrievers
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?	Anna, my 15 year old daughter.
Why do you want a Pembroke?	My daughter loves the breed. I know very little about it as we have always owned Goldens. I have researched the breed and know they herd and are very smart. My daughter would be very good at training a dog such as this and would spend a lot of time with it.
Activities planned with Pembroke:	Trick training, possibly joining our APWAP ( Aggieland Pets With A Purpose) club. Therapy visits at retirement communities. We have a big fenced back yard. Anna may even take the dog to agility training or something similar.
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:	Calmly
Discipline:	Voice scolding and
Where would Pembroke spend the majority of the time:	With my 2 Golden’s in the living areas until Anna gets home from school then she would walk him/her and sleep with her.
Discipline:	Voice scolding and Where would Pembroke spend the majority of the time: With my 2 Golden’s in the living areas until Anna gets home from school then she would walk him/her and sleep with her.
House dog or outside dog?	House dog
People at home during the day?	Yes. My husband has a home office and I am home every afternoon
Where would dog eat?	In the kitchen
Where would dog sleep:	In Anna’s bed
Play & exercise:	She can play all day outside, if she likes the backyard, and Anna will walk her and play with her outside and in after school
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?	6 ft. Wooden on quarter acre lot.
Living arrangements:	Own home
Landlord info:
May we contact your landlord?
Lease allow dogs:
Landlord permission:
Restrictive covenants?	Not applicable
Breed/size restrictions?	Yes
Description of yard:	Fenced back yard with 4 large trees and large lot
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?	Anna
Willing to train children?	Yes. She is already taught
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: