Untitled_1883 - Lakeshore Pembroke Welsh Corgi Rescue

Date & Referral Source
State:		Date of Application:	06/18/2018	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:	Any age	Gender preferred:	Female	Color preferred:	Any color	Activity level:	Other (Please describe in the box below.)
Other preferences:	I would prefer a female, not real picky on color, age doesn't matter my girls now are 9yrs old, I would be happy with a senior or a puppy.
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?	Myself.
Why do you want a Pembroke?	They have quite the personalities which I love, they herd which I've owned a cattle dog so I'm aware the attention a herding bred needs, I own my own house and 3 acres my parents have a 5 acres of field next to me so lots of room for exercise. I love the appearance of corgis along with their intelligence.
Activities planned with Pembroke:	For the most part I have dogs for companionship, when I'm outside doing yard work my girls are hanging out with me, I have in the past brought my dogs into nursing homes/ assisted livings/ hospitals for visits.
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:	Interrupt the behavior with a loud noise, or a uh uh is the most common that I use. They may spend a little time in a kennel for certain things my rat terrier likes to get into the garbage so she spends a little time in a crate and usually is good for a little while after.
Discipline:	Crate time, swat on the butt, with my girls I just have to look at them a certain way and they know they've done wrong.
Where would Pembroke spend the majority of the time:	Free roam of the house. Depends on the day I have a 4 on 4 off schedule so on my 4 off I'm usually outside.
Discipline:	Crate time, swat on the butt, with my girls I just have to look at them a certain way and they know they've done wrong. Where would Pembroke spend the majority of the time: Free roam of the house. Depends on the day I have a 4 on 4 off schedule so on my 4 off I'm usually outside.
House dog or outside dog?	House dog
People at home during the day?	Im home during the day I work night shift
Where would dog eat?	Kitchen free feed unless he/she needed otherwise
Where would dog sleep:	I have a huge dog bed for my girls or the couch
Play & exercise:	yes usually a hour or two while I'm doing my horse chores
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:	I live in a field on the edge of woods, I own 3 acres, my parents own the land around me. I plan to have part of my yard fenced in by fall for the dogs.
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?	Jennifer Hines
Willing to train children?	I don't have children, but I would if I did
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: