Untitled_1880 - 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:	1 year – 3 years, 3 years – 5 years	Gender preferred:	Female	Color preferred:	Red Headed Tri, Black Headed Tri	Activity level:	Couch Potato, Outgoing, Quiet, Playful, Energetic
Other preferences:	Our smooth collie is very relaxed and mellow, but yet fun loving and active. She would love a gentle playmate. Our family would not do well with a hyper or high strung/fearful or anxious dog.
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 whole family (mom, dad, 6&7yo boys, and 3 yo female smooth collie named Birdie).
Why do you want a Pembroke?	We love hearding breeds, and own a breeder. Corgi's personalities/temperaments/activity levels are very similar to smooth Collies, which we already own and love. Great family dogs with fun and loving personalities-bright and challenging.
Activities planned with Pembroke:	We live in a very large home on over an acre of land. We spend a lot of time outside playing ball, playing "chase" and going for walks in the trails/creeks that surround our home. We also spend a lot of indoor time cuddling, petting, grooming, playing tug and treat mind games.
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:	Say no once then move on to positive reinforcement for the desired behavior. Show the doggie what and how you want something done, and reward with treats and praise.
Discipline:	See above.
Where would Pembroke spend the majority of the time:	In our home and outside when she desires.
Discipline:	See above. Where would Pembroke spend the majority of the time: In our home and outside when she desires.
House dog or outside dog?	House dog
People at home during the day?	Yes.
Where would dog eat?	In the designated "doggie dinner" area in the kitchen.
Where would dog sleep:	Upstairs at night; anywhere she would like during the day.
Play & exercise:	I am available for the majority of the day, and we have 2 young boys that also love to play with our girl, Birdie. Birdie will also delight in having a playmate!
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 have an underground fence that has worked brilliantly with our smooth collie.
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 live on a 1.15 acre semi-wooded lot. There are vast expanses, hills and shade for the dogs to run, play and rest. no pools or other areas of concern.
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?	Elise Larsen
Willing to train children?	Yes. We already have done that when we adopted Birdie Mar when she was 5 months old.
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: