Untitled_1572 - Lakeshore Pembroke Welsh Corgi Rescue

Date & Referral Source
State:		Date of Application:	12/30/2017	Referred by:	Breeder
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, 5 years – 10 years	Gender preferred:	Either a Male or a Female	Color preferred:	Any color	Activity level:	Couch Potato, Outgoing, Quiet, Playful
Other preferences:	We are extremely interested in providing a hope for the right Corgi as soon as March/Arpil of 2018 Any support, help, options would be extremely appreciated
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 dog would be for my wonderful Senior parents living between Bucks county Pa and Bethany Beach Del. My parents have a active lifestyle between their wooded home in Pa and beach house in Del
Why do you want a Pembroke?	My family/kids (two girls 9 and 11) are absolutely inlove with the breed. We have a number of extremely happy Corgis in our neighborhood and have introduced the breed to my Senior parents. We have grown up with multiple breed and current have a wonderful English Golden and my parents would love to replicate the personality in a small breed. We have spent countless ours and feel a Corgi would be the best of all dog for my parents and our family
Activities planned with Pembroke:	This dog would live in a acer+ wooded home in Bucks County Pa. We have a number of walking- towns the dog would walk daily and spend day after day in the back yard as my father does his gardening and my mother over looks. They also have a beach front home in Delaware that would offer a second retreat for the Corgi
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?	No
Vet contact info:
Will handle mistakes Pembroke makes like this:	show or talk/walk the Pembroke through the mistake and work with the dog to improve
Discipline:	talking and training on what was done and how best improve. We would consider crateing if the dog was of proper age
Where would Pembroke spend the majority of the time:	in the house with my parents and our family
Discipline:	talking and training on what was done and how best improve. We would consider crateing if the dog was of proper age Where would Pembroke spend the majority of the time: in the house with my parents and our family
House dog or outside dog?	House dog
People at home during the day?	100% of the time- both retired
Where would dog eat?	There is a Mud-Room that has been a perfect location for our previous dogs
Where would dog sleep:	Mud-Room would have a bed. Most likely the Corgi would be sleeping in my parents room on the floor
Play & exercise:	The Cori will spend equal time between the beach and the wooded areas in Pa.
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:	large 1 acer+ wooded private yard in a private community. All single family homes. Also provide gated beach community
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?	Tom Lucas
Willing to train children?	absolutely – my two kids take care of our 4 year old golden and excited for the family addition
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- this dog will be a member of our family in all ways
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: