Untitled_1787 - Lakeshore Pembroke Welsh Corgi Rescue

Date & Referral Source
State:		Date of Application:	04/25/2018	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
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?	19 year old daughter who lives at home.
Why do you want a Pembroke?	We love the breed, sturdy dogs with a loving attitude. Ours was also a vocal girl which was one of the things we liked most about her. She loved to go on rides and walks. She would try to Hurd the kids when they were younger. She helped our daughter who suffers with chronic migraine and was her companion when she was having a rough day.
Activities planned with Pembroke:	Walks, car rides, play, relax with, go to the cabin.
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:	You can only correct a mistake if caught in the act. Verbal no, if on lead a quick short reprimand. But if they do a good job lots of praise and sometimes a special treat. Our pets are all bell trained to go potty.
Discipline:	A stern verbal no, shaker can, obedience classes or lead training methods. For some being placed in a submission hold. Every pet is different and how they respond to correction.
Where would Pembroke spend the majority of the time:	With our daughter who suffers from chronic pain. By her side, we are looking into training to be a therapy dog for her as well.
Discipline:	A stern verbal no, shaker can, obedience classes or lead training methods. For some being placed in a submission hold. Every pet is different and how they respond to correction. Where would Pembroke spend the majority of the time: With our daughter who suffers from chronic pain. By her side, we are looking into training to be a therapy dog for her as well.
House dog or outside dog?	House dog
People at home during the day?	Yes Jodee
Where would dog eat?	I like Science Diet, Nutro, Eukanuba, Purina One or Pro Plan.
Where would dog sleep:	Either a kennel or in bed with the daughter. Depending on what her former home had them do.
Play & exercise:	We live in the country so we have 80 acres. Plus walking on the road for walks or the new dog park that is in planning close to our house.
How will you exercise your dog?	Both on leash and restrained to the yard
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:	We have a few trees. No fixtures. We do have a deck out the back door. The front door has 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?	Jodee and myself
Willing to train children?	Yes if they are around any children
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 we would be will to.
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: