Untitled_1576 - Lakeshore Pembroke Welsh Corgi Rescue

Date & Referral Source
State:		Date of Application:	01/02/2018	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:	1 year – 3 years, 3 years – 5 years	Gender preferred:	Either a Male or a Female	Color preferred:	Any color	Activity level:	Quiet, Playful
Other preferences:	House broken gets along with cat
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?	Lorrie Brandon and our two 5 year old boys
Why do you want a Pembroke?	We are a family who loves animals and we have twin boys who are on the spectrum. We have done research and always adored the corgi and it's temperament and playful friendly nature. We are hoping we get blessed with a young corgi that can be a part of.oir family and bond with our children.
Activities planned with Pembroke:	We are a very out going family and love to be outdoors we are looking for a dog that can be ok with apaprtment living but be able to enjoy our family road trips,and outdoor adventures
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:	With positive affection but also with working on effectively fixing the mistake with guidance and a love
Discipline:	By first analyzing the negative behavior and looking for positive effective meathods that work with the dog. Using constructive dicepline to guide the dog into positive behaviors reinforcing good behavior with rewards
Where would Pembroke spend the majority of the time:	In our home
Discipline:	By first analyzing the negative behavior and looking for positive effective meathods that work with the dog. Using constructive dicepline to guide the dog into positive behaviors reinforcing good behavior with rewards 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?	Yes our twins and Brandon
Where would dog eat?	In our kitchen
Where would dog sleep:	In our room with the adults of the house
Play & exercise:	Everyday
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:	Rent/lease home
Landlord info:
May we contact your landlord?	Yes, you may contact my landlord.
Lease allow dogs:	Yes, my lease permits dogs.
Landlord permission:	Yes, my landlord is fine with me owning a Pembroke
Restrictive covenants?	Not applicable
Breed/size restrictions?	Yes
Description of yard:	N/a
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?	Lorrie wetta
Willing to train children?	Yes we are on top of educating our twins on the safety and also the respect of animals
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: