Untitled_1556 - Lakeshore Pembroke Welsh Corgi Rescue

Date & Referral Source
State:		Date of Application:	12/15/2017	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:	Any age	Gender preferred:	Either a Male or a Female	Color preferred:	Any color	Activity level:	Couch Potato, Outgoing, Quiet, Playful, Energetic
Other preferences:	Good with other dogs
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?	He or she is for us, who want to give a corgi a nice home.
Why do you want a Pembroke?	We have done some research on owning a Pembroke Welsh Corgi. I like that they are affectionate and smart dogs. Every corgi I have met seems friendly and adorable. As beagle owners, we are well aware and prepared to give much love and affection to our new corgi.
Activities planned with Pembroke:	Regular walks, lots of outdoor time as we have fenced in backyard, cuddle time, and play
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:	Show them the right way. Reward with positive reinforcement.
Discipline:	Only if caught right away doing something wrong, saying no, putting in time out or rolling the dog on their back to assert dominance.
Where would Pembroke spend the majority of the time:	In our home.
Discipline:	Only if caught right away doing something wrong, saying no, putting in time out or rolling the dog on their back to assert dominance. Where would Pembroke spend the majority of the time: In our home.
House dog or outside dog?	House dog
People at home during the day?	Shelly works mostly evening shift and Matt works day shift. So the corgi would be alone with our beagle for a couple of hours.
Where would dog eat?	We have a designated spot for the dog dishes.
Where would dog sleep:	In our bedroom.
Play & exercise:	We have a fenced in backyard and regular walks, usually 20-30 minutes. In addition, we would provide indoor play as well.
How will you exercise your dog?	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 chained fenced backyard about .2 acres on our .42 acre lot.
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:	Fenced in backyard with a shed as the only fixture in the yard.
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?	Shelly Herda
Willing to train children?	Absolutely!
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: