Untitled_1532 - Lakeshore Pembroke Welsh Corgi Rescue

Date & Referral Source
State:		Date of Application:	12/02/2017	Referred by:	Friend
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:	Female	Color preferred:	Any color	Activity level:	Couch Potato, Outgoing, Quiet, Playful, Energetic, Other (Please describe in the box below.)
Other preferences:	Will train if not house broken. Good temperament to use possibly as a therapy dog.
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?	Deborah Wilson
Why do you want a Pembroke?	I've always loved the breed, they're smart and learn quickly. Good temperament. I love the smaller stature. They love affection and I love giving it. They are great companions, people person dogs.
Activities planned with Pembroke:	Walks, dog parks for running. Also take with me for therapy dog. I live in the country so there's plenty of open areas to explore together. Obedience scjool and agility classes.
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:	I'm going to use verbal commands, in conjunction with American Sign Language. I'm fluent in sign language although I'm hearing.
Discipline:	Positive reinforcement, clicker training. Reward good behaviors. I would also seek the knowledge of a trainer.
Where would Pembroke spend the majority of the time:	Right with me in my home and where ever I can take her I will. I love the companionship of a dog.
Discipline:	Positive reinforcement, clicker training. Reward good behaviors. I would also seek the knowledge of a trainer. Where would Pembroke spend the majority of the time: Right with me in my home and where ever I can take her I will. I love the companionship of a dog.
House dog or outside dog?	House dog
People at home during the day?	Yes, I'm retired and generally spend a good amount of time at home. I also will take her with me whenever possible.
Where would dog eat?	A mixture of dry and wet foods, Wellness
Where would dog sleep:	In my bed next to mommy!!
Play & exercise:	I love to walk. I live in the country. Plenty of open spaces. I will also take her to dog parks we have several not to far from home. She will be enrolled in agility classes as well. I will teach her to fetch the ball and exercise her several times a day. I know they need to run off energy
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:	Country setting 3 acres. 1 acre of mowed grass. No.pools.
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?	Deborah Wilson
Willing to train children?	N/A
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: