Untitled_1879 - Lakeshore Pembroke Welsh Corgi Rescue

Date & Referral Source
State:		Date of Application:	06/17/2018	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:	Other (Please describe in the box below.)
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?	To complete our family of myself, a forever brother or sister for my furbaby- Kaylee- she is a Lhasa Aspo, my Son who is 21 & my daughter who is a very grown up 13 yr old
Why do you want a Pembroke?	We have loved all breeds but always wanted a Corgi and to have a forever sister or brother for my Kaylee would be awesome. Plus my daughter – Autumn has wanted a Corgi for 4 years now and yes-we have researched the breed. I have worked at a kennel/grooming shop & at a Veterinarians.
Activities planned with Pembroke:	We go to the park alot- I have a huge back yard. Since they are my children, they go where we do.
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:	Redirect & train. I hand-trained my Dude…. he was amazing.
Discipline:	A 'No' then retrain
Where would Pembroke spend the majority of the time:	In my 5 bedroom house
Discipline:	A 'No' then retrain Where would Pembroke spend the majority of the time: In my 5 bedroom house
House dog or outside dog?	House dog
People at home during the day?	Mostly…. between my 21 yr old- 13 yr old & me.
Where would dog eat?	He or She would eat Earthborn Holistic Grain Free like my Kaylee does.
Where would dog sleep:	Most likely; right next to one of us in bed 😊
Play & exercise:	Everyday, either out back with us or the park. Fun in the winter, I take my tractor and make a track…. Kaylee loves running it & getting a treat each lap lol
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:	Country Huge 5 Bedroom House- planning to fence in the back yard but I never leave my Kaylee alone, so I would not leave our Korgi alone either.
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?	All of us
Willing to train children?	My daughter-is 13 going on 30
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?	Well yes….. I take this as serious as having my children.
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: