Untitled_1527 - Lakeshore Pembroke Welsh Corgi Rescue

Date & Referral Source
State:		Date of Application:	11/30/2017	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	Gender preferred:	Male	Color preferred:	Any color	Activity level:	Playful, Energetic
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?	For a family pet, and to be a friend for our current dog who is a 1 1/2 year old Tibetian Terrior.
Why do you want a Pembroke?	We have done our research about Corgi's and they seem like lovable, kid friendly, playful pets. It seems like they are also known for their intelligence, which is great because our kids like to teach tricks.
Activities planned with Pembroke:	We would play, snuggle, and take him/her for walks.
Aware that Pembrokes are busy, noisy dogs?	Yes
Money for basic care?	Yes
Money for unforeseen medical expenses?	No
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:	It depends on the mistake, but with our current dog if he starts to chew something he is not suppose to, we just tell him no and he drops whatever he is chewing on.
Discipline:	We use positive reinforcement for good behavior, and use the word "no" for bad behavior.
Where would Pembroke spend the majority of the time:	They would spend their time playing with the kids, or playing in the fenced yard with Cooper, and snuggled up with us on cold days.
Discipline:	We use positive reinforcement for good behavior, and use the word "no" for bad behavior. Where would Pembroke spend the majority of the time: They would spend their time playing with the kids, or playing in the fenced yard with Cooper, and snuggled up with us on cold days.
House dog or outside dog?	House dog
People at home during the day?	I work 3 days a week, so those would be the only days someone is not home during the day due to my husband working, and the kids in school.
Where would dog eat?	In the kitchen, it is where we keep our current dogs bowls of food and water.
Where would dog sleep:	They would have a dog bed in our room, next to Cooper's bed.
Play & exercise:	Our kids take our current dog for walks daily, and the yard is fenced, so they would be free to roam the yard and play with Cooper.
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?	It is a 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:	We live in a two story house on 0.40 acres. We have a chain-linked fence in the backyard. We do not have a pool, just a few trees, a shed for storage, and an in-screen back porch.
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?	Rebecca/Grant
Willing to train children?	Yes, but our kids already know how to care for animals properly. They currently help take our dog for walks, feed, and bathe him.
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, there will be an adjustment period I am sure. Every dog that has been around Cooper he has instantly loved, and played with them.
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: