Untitled_1509 - Lakeshore Pembroke Welsh Corgi Rescue

Date & Referral Source
State:		Date of Application:	11/21/2017	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:	Any color	Activity level:	Couch Potato, Outgoing, Quiet, Playful, Energetic, Very Active
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?	Looking for a puppy for our nine year old daughter Isabel for a Christmas gift, but if one is not found before then, it is okay. Our family has been looking into adopting/purchasing a Corgi for a while now.
Why do you want a Pembroke?	We have been following the breed for a while now. We were first interested after seeing pictures of Corgi's on social media and instantly fell in love with the breed. We have never owned a Corgi before, but we have done research online during this process.
Activities planned with Pembroke:	We have a big yard at our house, and nearby parks in our community. Also a dog park is walking distance from our house. Our daughter loves going for walks and to the park.
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:	Talk with the dog and let them know a mistake was made and teach the dog not to make that mistake again.
Discipline:	Not into discipline, but we would communicate with the dog. So if something happened that they aren't allowed to do, make sure they know it's wrong. So it won't happen again.
Where would Pembroke spend the majority of the time:	Our house.
Discipline:	Not into discipline, but we would communicate with the dog. So if something happened that they aren't allowed to do, make sure they know it's wrong. So it won't happen again. Where would Pembroke spend the majority of the time: Our house.
House dog or outside dog?	House dog
People at home during the day?	No
Where would dog eat?	Our house
Where would dog sleep:	Our house
Play & exercise:	Daily
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?	Standard chain link fence.
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:	Have a big yard with a deck, no pool.
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?	Everyone will be, but if being specific it would be Michael
Willing to train children?	Yes, I have had dogs all my life. My parents still own dogs and our daughter is by there house a lot and knows how to act around and treat dogs.
Any allergies?	No one is allergic.
Current pets:
Current pets dog friendly?
Are you willing to work on it if your new dog doesn’t get along with your current pets right away?	N/A
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: