Untitled_1794 - Lakeshore Pembroke Welsh Corgi Rescue

Date & Referral Source
State:		Date of Application:	04/29/2018	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	Color preferred:	Red & White, Sable & White	Activity level:	Outgoing, Quiet, 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?	Our family (two sons, ages 10 and 12).
Why do you want a Pembroke?	We have done a lot of research that landed us on the Pembroke Welsh Corgi as the perfect breed for our family. We like the size, intelligence and personality of corgis. We have no experience with this breed other than friends' dogs, but I owned a sheltie for 17 years so I'm used to a herding dog. Our kids are 10 and 12 and able to help care for the dog.
Activities planned with Pembroke:	Our kids would like to teach the dog tricks, play with the dog and take the dog on walks. As a family, we would take the dog on trips to visit family (by car) and on our boat in the summer.
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?	No
Vet contact info:
Will handle mistakes Pembroke makes like this:	Gentle corrections and positive reinforcement of the desired behavior
Discipline:	Positive reinforcement with praise, treats and petting. Firm "no" when they're heading into trouble.
Where would Pembroke spend the majority of the time:	In our home
Discipline:	Positive reinforcement with praise, treats and petting. Firm "no" when they're heading into trouble. Where would Pembroke spend the majority of the time: In our home
House dog or outside dog?	House dog
People at home during the day?	Our schedule varies but weekdays we are typically gone from 8-3.
Where would dog eat?	In our kitchen
Where would dog sleep:	In our bedrooms, hopefully!
Play & exercise:	We are an active family with a large yard in a neighborhood, so daily exercise and playtime will be easy to come by.
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?	Invisible fence from our last dog, a beagle.
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 large, flat yard (half acre) in a neighborhood. In the winter, we build a skating rink but there's still plenty of yard for playing.
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?	Kristin
Willing to train children?	Yes, absolutely.
Any allergies?	One or more family members might be allergic to dogs.
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?	n/a
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: