Untitled_1544 - Lakeshore Pembroke Welsh Corgi Rescue

Date & Referral Source
State:		Date of Application:	12/08/2017	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	Gender preferred:	Either a Male or a Female	Color preferred:	Any color	Activity level:	Outgoing, Quiet, Playful
Other preferences:	Crate trained and house trained.
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?	Me.
Why do you want a Pembroke?	I have talked to Corgi owners and they say what sweet companions they are to have in your home. Recently lost 2 senior dogs, both mutts, rescues, and feel lost without a dog in my home. My senior dogs were 15 and almost 14 so would like to have a younger dog with a bit more energy.
Activities planned with Pembroke:	Walks daily in all weather conditions. Frequent trips to the dog park, play fetch.
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:	Depends on what the issue is, I would never strike a dog for making a mistake.
Discipline:	Tell them NO then I get over it. Possibly put the dog in their crate for a short time.
Where would Pembroke spend the majority of the time:	With me in the house or yard although I don't have a fenced yard I have a good size patio with a fence.
Discipline:	Tell them NO then I get over it. Possibly put the dog in their crate for a short time. Where would Pembroke spend the majority of the time: With me in the house or yard although I don't have a fenced yard I have a good size patio with a fence.
House dog or outside dog?	House dog
People at home during the day?	I live alone, retired, so my dog will spend most of his/her time with me.
Where would dog eat?	In the laundry room just off the kitchen.
Where would dog sleep:	Either in a doggy bed in my bedroom or on my bed with me.
Play & exercise:	Daily walks usually twice a day and trips to the dog park to play.
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?	No, the condo covenants do not prevent me from having a dog.
Breed/size restrictions?	No
Description of yard:	From the living room a sliding glass door leads to the patio which is fenced and a large grass area beyond the patio.
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?	Me.
Willing to train children?	My granddaughters (both teenagers) will watch my dog if I travel they have a dog at home.
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: