Untitled_1825 - Lakeshore Pembroke Welsh Corgi Rescue

Date & Referral Source
State:		Date of Application:	05/13/2018	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, Playful
Other preferences:	Must be comfortable with cats
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?	The corgis size and disposition would be a good fit in my household, and the corgi smile just melts my heart.
Activities planned with Pembroke:	Playing in my large fenced yard, taking naps, taking walks, playing with balls, playing with the cats, visiting grandma’s house, playing with the cousins (brittanies and a chihuahua)
Aware that Pembrokes are busy, noisy dogs?	Yes
Money for basic care?	Yes
Money for unforeseen medical expenses?	No
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:	All dogs make mistakes. The corrective action depends on the issue, as well as the dog. The important thing is to focus on positive reinforcement.
Discipline:	Positive reinforcement. Always find opportunities to catch good behavior, redirect when necessary.
Where would Pembroke spend the majority of the time:	In my house, large fenced yard, and/or snoozing in my bed.
Discipline:	Positive reinforcement. Always find opportunities to catch good behavior, redirect when necessary. Where would Pembroke spend the majority of the time: In my house, large fenced yard, and/or snoozing in my bed.
House dog or outside dog?	House dog
People at home during the day?	Yes, I leave for work between 8-10am, my roommate leaves for work between 2-4pm
Where would dog eat?	In the kitchen, food and water dishes on the floor.
Where would dog sleep:	In a crate if necessary, dog bed, or my bed when trained.
Play & exercise:	I have a very large fenced yard. We will also take walks around the neighborhood. I love being outside, gardening and doing yard work, so at least 3-4 hours outside per day.
How will you exercise your dog?	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?	6’ fully fenced yard
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:	Large fenced yard, no pools, gardens
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?	Carisa (myself)
Willing to train children?	I do not have children myself, but I used to teach high school, and have nephews and neighborhood children who visit. They all know how to be respectful towards animals and if they do not understand this, I am happy to teach/explain this to them
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: