Untitled_1553 - Lakeshore Pembroke Welsh Corgi Rescue

Date & Referral Source
State:		Date of Application:	12/15/2017	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:	0 months – 1 year (we rarely get dogs in this age group), 1 year – 3 years, 3 years – 5 years	Gender preferred:	Either a Male or a Female	Color preferred:	Black Headed Tri, Sable & White	Activity level:	Outgoing, Quiet, Playful, Energetic, Very Active
Other preferences:	Would love one with a tail since we lost ours to cancer that we rescued in Michigan 5 years ago
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?	This is for us.
Why do you want a Pembroke?	We have had one for 5 years. They are so lovable and protective. They love to go for walks which keeps us active. We know they shed year round and that's ok.
Activities planned with Pembroke:	Walks through the neighborhood and local park. Play ball in our large yard. We take them everywhere with us including vacations to other states. Snuggling on the couch is a favorite as well as visiting the Home Depot where I work part time
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:	voice control deeply usually works for us
Discipline:	usually a tug on the leash is sufficient with proper training.
Where would Pembroke spend the majority of the time:	With one of us. We rarely leave him or her alone
Discipline:	usually a tug on the leash is sufficient with proper training. Where would Pembroke spend the majority of the time: With one of us. We rarely leave him or her alone
House dog or outside dog?	House dog
People at home during the day?	yes my husband is retired and I am only working 16-20 hours a week
Where would dog eat?	In the kitchen
Where would dog sleep:	in the bedroom with us in his own bed
Play & exercise:	We have a big yard on a small lake with lots of room to run and play ball or whatever they like to play. Lots of walks.
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 short 3 foot metal fence but we wouldn't leave him or her alone
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:	3/4 acre with flat areas as well as slopes for good exercise. Two large maples no pools. Flag pole and two bird feeders. Small caged garden area that is not accessible to animals.
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?	William and Cindy
Willing to train children?	no children in the home
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 don't have any other pets and do not plan too
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: