Untitled_1832 - Lakeshore Pembroke Welsh Corgi Rescue

Date & Referral Source
State:		Date of Application:	05/18/2018	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:	Male	Color preferred:	Any color	Activity level:	Other (Please describe in the box below.)
Other preferences:	I have a cat
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?	Me and my 13 year old female corgi
Why do you want a Pembroke?	I want to try to give more life to my Female corgis year. She is 13 years old and still does agility. Someone for her to play with be a companion
Activities planned with Pembroke:	Obedience, agility, tracking, walking etc
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:	in agility I usually use a sound and then say lets try that again..
Discipline:	not harsh if the dog does not understand what he did was wrong. If it were dog fight it be more harsh a stern no then time out in a crate
Where would Pembroke spend the majority of the time:	In a airline kennel during the day while i am at work. Then out and doing stuff and sleeping one the bed at night
Discipline:	not harsh if the dog does not understand what he did was wrong. If it were dog fight it be more harsh a stern no then time out in a crate Where would Pembroke spend the majority of the time: In a airline kennel during the day while i am at work. Then out and doing stuff and sleeping one the bed at night
House dog or outside dog?	House dog
People at home during the day?	no
Where would dog eat?	in the kitchen
Where would dog sleep:	in bed with me
Play & exercise:	walking and agility and obedience and scentwork and anything else I can think of
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?	No, the condo covenants do not prevent me from having a dog.
Breed/size restrictions?	No
Description of yard:	I live in a townhouse. I have a commons area and no swimming pools. I do a fence on my concrete pad
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?	me
Willing to train children?	don't have kids
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. That is why I want to be careful who i adopt.
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: