Untitled_1827 - Lakeshore Pembroke Welsh Corgi Rescue

Date & Referral Source
State:		Date of Application:	05/14/2018	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:	0 months – 1 year (we rarely get dogs in this age group), 1 year – 3 years	Gender preferred:	Either a Male or a Female	Color preferred:	Black Headed Tri, Any color	Activity level:	Couch Potato, Outgoing, Playful, Energetic
Other preferences:	We currently have an older dog and older cat. We also have a two year old son and plan to grow our family soon.
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?	The family.
Why do you want a Pembroke?	I absolutely love this breed. They are beautiful and so fun loving and energetic! Just what my older dog needs. A busy buddy!
Activities planned with Pembroke:	We try our best to go on a nightly walk with the family. But we also like to play ball and tag. My son likes to play hide and seek with our older dog also.
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:	I would look for clues on why it may have done it and if he sees it was wrong by cowering away from it.
Discipline:	I don’t tend to use discipline much but if need be I show the dog what they did wrong and send them to their bed.
Where would Pembroke spend the majority of the time:	In the living area with family and Axel or outside weather permitting.
Discipline:	I don’t tend to use discipline much but if need be I show the dog what they did wrong and send them to their bed. Where would Pembroke spend the majority of the time: In the living area with family and Axel or outside weather permitting.
House dog or outside dog?	House dog
People at home during the day?	Most days yes.
Where would dog eat?	With limited kitchen space the pets food area is in the laundry room.
Where would dog sleep:	He would get his own bed at the foot of our bed. However we are a sucker for snuggles and allow the dogs to be on the bed and furniture also.
Play & exercise:	We go for walks as often as we can and we love to play ball, tag, hide and seek, and go swimming when nice. We get them out to my parents land to run and exercise most weekends and we love the dog park.
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 about an acer of land in the back yard and some area in the front yard. We don’t live on a busy road. We have an attached garage and a deck off the back. It is not yet fenced in but will be. It is currently surrounded by large evergreen pine trees.
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?	Kelsey
Willing to train children?	Yes. He has gotten practice by having the other dog in the home along with our cat.
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 of course
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: