Untitled_1748 - Lakeshore Pembroke Welsh Corgi Rescue

Date & Referral Source
State:		Date of Application:	04/03/2018	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	Gender preferred:	Either a Male or a Female	Color preferred:	Any color	Activity level:	Outgoing, Playful, Energetic
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?	Marcia and Jacob
Why do you want a Pembroke?	My brothers daughter is a well respected breeder in southern Oregon. Darceys Corgis. When we visit we stay with them. There are always puppies. We fell in love at first sight. When our 12 year old rescued black lab passed after Christmas, we decided to look for a Pembroke to adopt. We like the full tails, the ears, the smile.
Activities planned with Pembroke:	Walks and walks and tennis balls. We own our home. It's a triple fenced lot in the country. 12 acres out front for dog walking and ball playing. Very quiet single lane country road. 5 minute walk to Walking Iron parks 400 acres.
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 strong No to start with.
Discipline:	I've never had a lot of trouble with that. All my dogs have done at least beginning obedience. I use a clear tone and always use the same words when wanting them to do something or not do something. I had a Dalmation many years back. That was a beautiful but always stubborn dog.
Where would Pembroke spend the majority of the time:	Always sleep inside. Day times inside and out when weather permits. With us on camping trips. We teach youth theater in our building 5 min walk downtown from our home. Our dogs have always been popular with the kids when they visit.
Discipline:	I've never had a lot of trouble with that. All my dogs have done at least beginning obedience. I use a clear tone and always use the same words when wanting them to do something or not do something. I had a Dalmation many years back. That was a beautiful but always stubborn dog. Where would Pembroke spend the majority of the time: Always sleep inside. Day times inside and out when weather permits. With us on camping trips. We teach youth theater in our building 5 min walk downtown from our home. Our dogs have always been popular with the kids when they visit.
House dog or outside dog?	House dog
People at home during the day?	Since our business is so close and we also work from our home offices we are home more than most.
Where would dog eat?	during nice weather on the back deck or in the workroom near the kitchen.
Where would dog sleep:	Almost always in the house. A dog bead in the workroom. Our lab always slept at the foot of our bed.
Play & exercise:	Plenty, our neighbors have dogs. We get together for walks and dog playing often. Tennis balls, frisbee. We have a lot of room for fun with dogs.
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?	Triple fenced lot. Cyclone style metal fence.
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:	Triple fenced lot, grass, garden, trees, lots of open area in our 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?	Both Marcia and Jacob
Willing to train children?	we have no kids.
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: