Untitled_1568 - Lakeshore Pembroke Welsh Corgi Rescue

Date & Referral Source
State:		Date of Application:	12/28/2017	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:	0 months – 1 year (we rarely get dogs in this age group), 1 year – 3 years, 3 years – 5 years	Gender preferred:	Male, Female, Either a Male or a Female	Color preferred:	Red & White, Black Headed Tri	Activity level:	Couch Potato, Outgoing, Quiet, Playful, Energetic, Very Active
Other preferences:	We have previously purchased a Corgi, and rescued two other Corgis.
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?	Gloria and Terry: Our three Corgi's who reached the ages of 12, 13, and 14 have died this year. We would like a younger dog or older puppy if possible. They would be house dogs and receive love and excellent care.
Why do you want a Pembroke?	We have had Corgis for 14 years. Our three dogs were close in age so they have all died recently and we truly miss the interactions and companionship.
Activities planned with Pembroke:	We live on an acreage and near a state park so daily walks, three times a day in the summer. Run and play in our large front yard. Hang out on the sofa or in our three-seasons room. We appreciated that they barked when something was wrong, or someone came to the door.
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? No
Do you have a veterinarian?	Yes
Vet contact info:
Will handle mistakes Pembroke makes like this:	I use hand signals: for no: point finger at face Did something intentionally wrong: point at kennel (show them to go in at first) I use the same key words and they learn what they mean. "You're next" "Just a little bit" (they need to wait a few minutes but no longer) "Do you need to go outside?" and offer the leash
Discipline:	Take the dog outside frequently until they learn to stand by the front door to signal a need to go outside. Quickly move the dog to outdoors if it is an accident, or quickly remove the item that was chewed and watch more carefully.
Where would Pembroke spend the majority of the time:	Indoors, but outside if they stand by the door and want to go outside.
Discipline:	Take the dog outside frequently until they learn to stand by the front door to signal a need to go outside. Quickly move the dog to outdoors if it is an accident, or quickly remove the item that was chewed and watch more carefully. Where would Pembroke spend the majority of the time: Indoors, but outside if they stand by the door and want to go outside.
House dog or outside dog?	House dog
People at home during the day?	Yes
Where would dog eat?	Water dish always available in the kitchen on a mat, and fed twice a day next to the water dish.
Where would dog sleep:	A bed with a blanket -in a kennel at first, and then if no accidents, in the bedroom at the foot of the bed, or if they seem to prefer the living room, then that area.
Play & exercise:	Several times a day in our large yard
How will you exercise your dog?	On leash
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:	We live in the country with a large spacious yard surrounded by thick bushes and trees, which create a barrier.
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?	shared
Willing to train children?	No children
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?	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: