Untitled_1611 - Lakeshore Pembroke Welsh Corgi Rescue

Date & Referral Source
State:		Date of Application:	01/25/2018	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:	Any age	Gender preferred:	Either a Male or a Female	Color preferred:	Any color	Activity level:	Couch Potato, Outgoing, Quiet, Playful, Energetic, Very Active
Other preferences:	Must get along well 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?	Myself
Why do you want a Pembroke?	I did a lot of research on the breed prior to getting my first PWC, tater. I love the intelligence of the breed. Tater was a quick learner but her smarts and her herding instincts made training difficult at times but it was well worth the time. they make such fun companions.
Activities planned with Pembroke:	Hanging out, hiking, running (if the dog was up for it, my current dog loves walks but not running).
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:	A firm “NO” immediately, I try to use tone of voice to communicate that a behavior is undesired.
Discipline:	I would put my current Pembroke in a “time out” when she misbehaved. She had to either sit in the corner facing the wall, and stayed there for a minute or 2 or I would gate her in the kitchen for a while.
Where would Pembroke spend the majority of the time:	They would spend the majority of their time at our house but I like to take my dog everywhere I can with me. I work in a dog friendly environment so occasionally my current dog will come there with me.
Discipline:	I would put my current Pembroke in a “time out” when she misbehaved. She had to either sit in the corner facing the wall, and stayed there for a minute or 2 or I would gate her in the kitchen for a while. Where would Pembroke spend the majority of the time: They would spend the majority of their time at our house but I like to take my dog everywhere I can with me. I work in a dog friendly environment so occasionally my current dog will come there with me.
House dog or outside dog?	House dog
People at home during the day?	Occasionally
Where would dog eat?	In the kitchen
Where would dog sleep:	In our bed, it’s bed, or it’s crate if that’s where they prefer to sleep.
Play & exercise:	They will get walked at least once a day. Will play with our current dog, and could even come for short runs if they enjoy it. I enjoy winter and summer hiking so they will join for that as well.
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?	About 7 feet high, solid wood.
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:	Large fenced in back 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?	Andrea Yee
Willing to train children?	We do not have children but we do take the time to teach the children in our lives how to approach animals.
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: