Untitled_1539 - Lakeshore Pembroke Welsh Corgi Rescue

Date & Referral Source
State:		Date of Application:	12/05/2017	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:	3 years – 5 years, 5 years – 10 years, 10 years +	Gender preferred:	Either a Male or a 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?	My husband and me.
Why do you want a Pembroke?	Our first Corgi came to us through a breeder. We were looking for a small dog with a big personality. We investigated different breeds and attended the dog show to see them in person and talk to the breeders. At the time we we were a young family with 2 boys and we were looking for a dog that would love to be involved in our activities and was a friendly breed. And he was! Max went everywhere with us from sporting activities to family campi.ng. Our 2nd Corgi, Jake, came to us from a family that could no longer keep him. Our next adopted dog was a Corgi-mix., Hank. He, too, was a sweetheart who just wanted to be with his family. That is the trait that we love most about our corgis. Not only do they want to be involved, but they are happy to take charge, if you let them.
Activities planned with Pembroke:	Now that our kids are grown, we are not as active as we once were. We still attend our grandkids baseball/soccer/football games at the park and I expect our Corgi will come with us. My husband walks not quite a mile a day and he would love to have company. I am outside in the yard gardening, weather permitting, and I could always use a companion who loves to chase balls and butterflies.
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:	If he has gotten into a situation with another animal or person, then I would remove him from the area. If he has gotten into something, like a chewed shoe, then I would remove the shoe.
Discipline:	We have always found a "No" in a stern voice has been enough to correct an action and/or removing him was enough to correct a behavior. It may take a few times, our guys have always been headstrong, but it has been effective for us. Under no circumstances do we ever hit our dog.
Where would Pembroke spend the majority of the time:	With us in the house.
Discipline:	We have always found a "No" in a stern voice has been enough to correct an action and/or removing him was enough to correct a behavior. It may take a few times, our guys have always been headstrong, but it has been effective for us. Under no circumstances do we ever hit our dog. Where would Pembroke spend the majority of the time: With us in the house.
House dog or outside dog?	House dog
People at home during the day?	My husband and I are home most of the time.
Where would dog eat?	I have always kept fresh water and his food fish in the kitchen.
Where would dog sleep:	Anywhere he wants. We would love to have him on our bed, but if he is not comfortable there, he can have a crate. We also will allow him on our furniture and window seat.
Play & exercise:	My husband takes a daily walk and our Corgi would join him. I would play with him both in the house and yard.
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 five foot tall 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:	The yard is approximately 20' x 25'. It is enclosed by a chain link fence and two locked gates. The center of the yard is brick paved. There is a small garden area on either side. We have a fountain that is low enough for a Corgi to drink from so we never use chemicals.
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?	My husband will be the Corgi walker. I will be the dog brusher. The rest will be split..
Willing to train children?	Our children are adults and animal lovers. Our grandchildren have always been around our dogs and have been kind and loving to them.
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?	We do not anticipate having another pet, but of course we would do whatever is necessary to provide a peaceful home for everyone.
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: