Untitled_1816 - Lakeshore Pembroke Welsh Corgi Rescue

Date & Referral Source
State:		Date of Application:	05/08/2018	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, 3 years – 5 years	Gender preferred:	Female	Color preferred:	Any color	Activity level:	Outgoing, Quiet, 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?	My family which is me, 49, my daughter, 15, and my mother 78. My mom loves Pembroke Welsh Corgis and we had several throughout the years. Our last one past away a couple years ago and we are ready to adopt another one.
Why do you want a Pembroke?	We love the big dog attitude in a little dog. Corgis are small enough that my mom can walk them and we love that they generally are not lap dogs.
Activities planned with Pembroke:	Brush her, Ha Ha, play with her in the yard and the house, Generally be a companion for mom when she's home alone. If she's athletic, I would take her running wth me.
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:	talk sternly using dogs name and saying no. reinforce good behavior.
Discipline:	verbal correction.positive reinforcement with treats or praise as reward
Where would Pembroke spend the majority of the time:	in our home or our yard
Discipline:	verbal correction.positive reinforcement with treats or praise as reward Where would Pembroke spend the majority of the time: in our home or our yard
House dog or outside dog?	House dog
People at home during the day?	Yes, my mom lives with us and she's retired
Where would dog eat?	in the kitchen
Where would dog sleep:	Wherever it wants to, but we already have a dog bed that will be in mom's room.
Play & exercise:	we have a big house so she will have the opportunity to run around the house. I run and would take the dog running if it could, walking if not.
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 deck in the backyard. the yard isn't currently fenced in but I might put in a dog run if needed.
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?	Steve
Willing to train children?	Yes, We had a dog before Tessa was born so she grew up with a dog and lived with one until our last one passed two years ago.
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?	NA
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: