Untitled_1621 - Lakeshore Pembroke Welsh Corgi Rescue

Date & Referral Source
State:		Date of Application:	01/31/2018	Referred by:	Other
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, 5 years – 10 years	Gender preferred:	Either a Male or a Female	Color preferred:	Any color	Activity level:	Other (Please describe in the box below.)
Other preferences:
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?	The corgi will be a companion to myself Barbara,Stephen and our other corgi Odie.
Why do you want a Pembroke?	We rescued our corgi two years ago and I have had many different dog breeds and did volunteer work at a humane society and I have just fallen in love with My corgi he is sooo loving and gets along with other dogs . He is a great snake and mouse catcher. He cracks everyone up when they come over and watch him hop around the yard trying to scare some critter out of the ground.
Activities planned with Pembroke:	We live on 20 acres so we have a lot of room for walks, our corgi LOVES going on the side by side and ride around the farm. We also love to go camping and take our dogs with us. Since our other dog passed Odie has been more depressed and real needy we are hoping to find a new companion for him and give another corgi a loving home.
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:	If I see it I try to stop them and and correct the action.
Discipline:	I found if we are having issues they need to be removed and have some alone time. I work from home and really do not have any real issues
Where would Pembroke spend the majority of the time:	At home inside
Discipline:	I found if we are having issues they need to be removed and have some alone time. I work from home and really do not have any real issues Where would Pembroke spend the majority of the time: At home inside
House dog or outside dog?	House dog
People at home during the day?	I work from home my husband is an over the road driver.
Where would dog eat?	In the kitchen with our other corgi
Where would dog sleep:	With us in our bedroom
Play & exercise:	How ever much they want. We do go on more walks during the warm months plus with camping we keep busy.
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?	Our fenced in yard is about a space of 30 by 30 feet My husband and I made a two story dog condo out of pallets which Odie loves.
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 on 20 acres we have a small pond but it is several yards from the house and not in the fenced in area.
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?	Barbara Garfield
Willing to train children?	Yes if we ever get any granchildren
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: