Untitled_1642 - Lakeshore Pembroke Welsh Corgi Rescue

Date & Referral Source
State:		Date of Application:	02/11/2018	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:	3 years – 5 years, 5 years – 10 years	Gender preferred:	Either a Male or a Female	Color preferred:	Any color	Activity level:	Outgoing, Quiet, Playful
Other preferences:	We have a three year old daughter and are looking for a dog that is good with children. We are very open to corgi mixes.
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?	Our family.
Why do you want a Pembroke?	Our previous dog was a corgi-sheltie mix and we adored him. He was smart, well-behaved, loyal, funny, gentle, sweet, and so cute. He passed away last summer. While we are still grieving this loss, we are ready to start looking for a new dog. When we started looking at rescue dogs, we realized that how much we liked having a corgi and decided to narrow our focus.
Activities planned with Pembroke:	Go for walks, play in the yard, relax in the house.
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:	Distraction from certain behaviors, short time-outs., positive reinforcement. Obedience training, if necessary.
Discipline:	Having agreed-upon house rules and being consistent with responses (and responding immediately). Distraction from certain behaviors, short time-outs. Establishing hierarchy by eating first, entering the house first, leading on walks, etc. Positive reinforcement–petting, treats, etc.
Where would Pembroke spend the majority of the time:	Inside our house.
Discipline:	Having agreed-upon house rules and being consistent with responses (and responding immediately). Distraction from certain behaviors, short time-outs. Establishing hierarchy by eating first, entering the house first, leading on walks, etc. Positive reinforcement–petting, treats, etc. Where would Pembroke spend the majority of the time: Inside our house.
House dog or outside dog?	House dog
People at home during the day?	Lauren works from home 2 days a week and all three family members are home Friday-Sunday.
Where would dog eat?	Our kitchen.
Where would dog sleep:	In our bedroom on a bed, either on the floor or in a crate.
Play & exercise:	We walk regularly spring-fall and occasionally in the winter. We also have a fenced in backyard.
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?	We have a privacy fence on one side of our backyard and a chainlink fence on the other side.
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:	Our backyard is completely fenced in. There is a grassy area and a patio.
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?	Lauren and Jeremy
Willing to train children?	Absolutely. Our daughter loves animals and is excited to have a pet again.
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?	We will not be getting another pet.
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: