Untitled_1738 - Lakeshore Pembroke Welsh Corgi Rescue

Date & Referral Source
State:		Date of Application:	03/30/2018	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:	0 months – 1 year (we rarely get dogs in this age group), 1 year – 3 years	Gender preferred:	Male, Either a Male or a Female	Color preferred:	Red & White, Black Headed Tri	Activity level:	Outgoing, Playful
Other preferences:	Looking for a playmate for our 3 year old Bassett Hound. We recently lost our 11 year old chocolate lab and our Bassett needs a playmate
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?	Jeri.
Why do you want a Pembroke?	I've always loved this breed. I have done a lot of research into the Corgi's and they seem to be a nice fit into our active lifestyle.
Activities planned with Pembroke:	Walking, running at the dog park, playing with our bassett hound, chasing cows on the farm
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:	Tell them no and correct the behavor
Discipline:	Telling them no. Worse case would be training collar
Where would Pembroke spend the majority of the time:	We have a fenced in yard and a doggie door. So he/she can go in and out as they please. But most would be in the house with our bassett.
Discipline:	Telling them no. Worse case would be training collar Where would Pembroke spend the majority of the time: We have a fenced in yard and a doggie door. So he/she can go in and out as they please. But most would be in the house with our bassett.
House dog or outside dog?	House dog
People at home during the day?	Yes My aunt is home with them all day long.
Where would dog eat?	in the kitchen when we feed the other dog
Where would dog sleep:	in a doggie bed in our bedroom
Play & exercise:	Walks daily and weekend trips to the dog park and farm
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?	It half our back yard. Doggie door opens onto our deck and then the fence is from the corner of the deck across to our garage. They can go in and out as they please. They can not get off the one side of the deck we have that blocked off.
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 have a fenced in yard, deck and a cloths line that is outside 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?	Jeri
Willing to train children?	Yes, our children are older and out of the house
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, introducing them before hand to make sure they will get along.
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: