Untitled_1480 - Lakeshore Pembroke Welsh Corgi Rescue

Date & Referral Source
State:		Date of Application:	10/29/2017	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:	0 months – 1 year (we rarely get dogs in this age group), 1 year – 3 years, 3 years – 5 years	Gender preferred:	Female	Color preferred:	Any color	Activity level:	Couch Potato, Outgoing, Quiet, 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?	Our family
Why do you want a Pembroke?	We are precious PWC owners and worked with Lakeshore and Patty Bittles in the past. We had our little Panda for almost 15 years before she passed and loved every minute. We had done our research with her and really enjoyed the time we spent with her. She was smart, quick, and loving.
Activities planned with Pembroke:	We like to go for walks, hikes, and other outdoor activities. There is also a dog park nearby to socialize her with other dogs.
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 practice positive reinforcement and try to teach commands to prevent them from happening (ex. Leave it). We would tell her not to do “X” and take her attention to something else.
Discipline:	Positive training and reinforcement, repetition, distraction, and voice inflections
Where would Pembroke spend the majority of the time:	In a single family home
Discipline:	Positive training and reinforcement, repetition, distraction, and voice inflections Where would Pembroke spend the majority of the time: In a single family home
House dog or outside dog?	House dog
People at home during the day?	Sometimes
Where would dog eat?	In the kitchen
Where would dog sleep:	Family room or her crate (in the same area)
Play & exercise:	We live in a suburban neighborhood with walking paths, sidewalks, open spaces and fields for her to play. We also have a backyard and dog park nearby. She would have an several opportunities each day to go outside, as well as staying inside to play with toys and our kids
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:	We have a yard with one side fenced, and another side with trees as a natural barrier. No swimming pools or trampolines.
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?	Victoria She
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: