Untitled_1842

State: Date of Application: 05/25/2018 Referred by: Website
First name: Last name: First name 2: Last name 2:
Street:
City: State: Zip:

Ages interested in:
0 months – 1 year (we rarely get dogs in this age group)
Gender preferred:
Female
Color preferred:
Any color
Activity level:
Couch Potato, Outgoing, Quiet, Playful, Energetic

Other preferences:
We plan on starting a family within the next year.

Previous dog owner?
No
 
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?

Who is this dog for?

We are a young couple who recently purchased a home with a yard and would like to rescue a puppy.

Why do you want a Pembroke?
Lindsey and I both grew up with medium sized dogs. We spent a long time researching breeds and feel a corgi is best suited for our lifestyle. We particularly like the breed’s intelligence, playfulness, and their kid friendly nature.

Activities planned with Pembroke:
We recently moved to an area with a substantial amount of green space, parks, trails, etc. Our town is also very walkable. We plan on spending a lot of time outdoors with our corgi, both on walks and at the local dog parks.

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:
Firm tone to tell them no and redirect the behavior. I.e if they are chewing on furniture, directing them to a toy to chew on.

Discipline:
First redirection then natural consequences for that specific scenario. I.e. ending a walk early if the dog tries to run off.


Where would Pembroke spend the majority of the time:
At our house, in our yard, or at doggie day care.

Discipline:
First redirection then natural consequences for that specific scenario. I.e. ending a walk early if the dog tries to run off.
Where would Pembroke spend the majority of the time: At our house, in our yard, or at doggie day care.

House dog or outside dog?

House dog

People at home during the day?
Currently there is not. Within the next year Lindsey will be transitioning to being at home during the day.

Where would dog eat?
Kitchen.

Where would dog sleep:
Crate in a bedroom.

Play & exercise:
Long walks around our neighborhood. Trips to the dog park and dog beach. Playing with dog toys.

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?
We currently have a chain link fence that will be repaired or replaced this summer.

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 medium sized yard with several trees and a detached garage.

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?
Daniel Loucks

Willing to train children?
Yes. Lindsey is a teacher/director at a preschool and has a lot of experience with teaching young children.

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?
We currently do not have other pets.

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: