Untitled_1754 - Lakeshore Pembroke Welsh Corgi Rescue

Date & Referral Source
State:		Date of Application:	04/07/2018	Referred by:	Friend
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:	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?	Myself
Why do you want a Pembroke?	I love the breed: intelligent, a lion hearts in a smaller body, funny, was happy indoors or out, devoted, loving, easily house trained, amazing companions to any age.
Activities planned with Pembroke:	Daily affection and care,Walks, going to my Beachouse, walking beach, car travel, playing, quiet moments together, regular health checks, water games, (my one Corgi loved to play with the water from the garden hose.
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:	First reward good behavior as the priority. If a change I behavior is needed, Attention to the discipline close to the act. Use stern look, lower voice, give command and repeat if needed. Consistency and commitment to correct is key. I do not use physical punishment
Discipline:	First make sure I have met the dogs physical and emotional needs such as food and plenty of attention and affection. Correct by adequate training program which models for the corgi Correct by practice repeatedly
Where would Pembroke spend the majority of the time:	In my house in kitchen and family room area
Discipline:	First make sure I have met the dogs physical and emotional needs such as food and plenty of attention and affection. Correct by adequate training program which models for the corgi Correct by practice repeatedly Where would Pembroke spend the majority of the time: In my house in kitchen and family room area
House dog or outside dog?	House dog
People at home during the day?	Yes
Where would dog eat?	Kitchen
Where would dog sleep:	Kitchen
Play & exercise:	Daily play and exercise. I wake early and go for walks in bad weather, we would defer the walk. At the beachouse, we walked daily in the beach and played in the water
How will you exercise your dog?	On leash
Fenced yard?	No, I don’t have a fenced in yard.
Willing to pick up dog waste?	Yes, I will clean up after my dog.
Willing to use a crate?
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:	Two story red brick colonial. About 4,000 sq feet on lot that is 100X 400. There os lots of grassy area to run and Pla, play fetch.
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?	Marcie Calandra
Willing to train children?	Yes
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: