Untitled_1852 - Lakeshore Pembroke Welsh Corgi Rescue

Date & Referral Source
State:		Date of Application:	06/02/2018	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:	0 months – 1 year (we rarely get dogs in this age group), 1 year – 3 years, 3 years – 5 years	Gender preferred:	Either a Male or a Female	Color preferred:	Any color	Activity level:	Outgoing, Quiet, Playful, Energetic
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?	Our family-mom,dad and 15 year old son.
Why do you want a Pembroke?	We like smaller dogs. Our research has told us that the Corgi is affectionate and smart. We have friends with a Corgi and they love their dog. We also know a Corgi has a good life span and we are looking for that.
Activities planned with Pembroke:	Walking, cuddling, playing fetch and doing basic training.
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:	If I catch him in the act, then I would tell him "no" firmly and remove him from the act and take him to the place where I want the behavior to occur or remove him from the situation. If I don't catch him in the act then there is not much to do because you have to have the reaction tied to the behavior you are trying to change.
Discipline:	Treats as rewards. Firm voice but never yelling. Get down at the dog level and redirect the dog.
Where would Pembroke spend the majority of the time:	In our house wherever we are. If we are gone we will have the dog in the sunroom and kitchen area on a tile floor.
Discipline:	Treats as rewards. Firm voice but never yelling. Get down at the dog level and redirect the dog. Where would Pembroke spend the majority of the time: In our house wherever we are. If we are gone we will have the dog in the sunroom and kitchen area on a tile floor.
House dog or outside dog?	House dog
People at home during the day?	In and out.
Where would dog eat?	In the kitchen
Where would dog sleep:	In our bedroom or a crate if it is more comfortable in his own space.
Play & exercise:	Walk 1/2 hour with owners in the morning and evening. In our fenced in backyard. Other times to run around outside during the day.
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?	7 foot privacy fence around a backyard that is 1 acre.
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:	Fenced in 1 acre yard.
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?	Stephanie
Willing to train children?	Yes.
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: