Untitled_1887 - Lakeshore Pembroke Welsh Corgi Rescue

Date & Referral Source
State:		Date of Application:	06/20/2018	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:	Couch Potato, Outgoing, Quiet, Playful
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?	Both of us.
Why do you want a Pembroke?	Enjoyed the PWC we had for 11+ years; willing to adopt another Corgi.
Activities planned with Pembroke:	Daily walks, gentle fetch (as determined by dog's willingness), play with our eight grandchildren who live nearby.
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:	Gently. Would look up what to do, what motivates the dog and what kind of problem needs correcting. Our previous PWC was extremely well behaved, so our experience with problem behavior is minimal.
Discipline:	Strong verbal reprimands; motivate with treats (learned too late how extremely food motivated our previous PWC was).
Where would Pembroke spend the majority of the time:	Dog would have access to virtually all of our house (unless there was evidence of a problem area).
Discipline:	Strong verbal reprimands; motivate with treats (learned too late how extremely food motivated our previous PWC was). Where would Pembroke spend the majority of the time: Dog would have access to virtually all of our house (unless there was evidence of a problem area).
House dog or outside dog?	House dog
People at home during the day?	Yes, but not at all times.
Where would dog eat?	On the hardwood floor near the kitchen. We had a plastic mat for food and water bowls.
Where would dog sleep:	In our bedroom (we had a crate, but in later years the dog was allowed to choose if he wanted to go in at night).
Play & exercise:	We try to walk around the block twice a day, in all kinds of weather.
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?	White metal fence with height and spacing of verticals that prevent the dog from going outside of the fence.
Living arrangements:	Own home
Landlord info:
May we contact your landlord?
Lease allow dogs:
Landlord permission:
Restrictive covenants?	Not applicable
Breed/size restrictions?	Yes
Description of yard:	Simple fenced in back yard with access via door onto deck and down stairs to the ground level. Mostly grass, with several mature trees and a very small garden box.
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?	Chuck Weber
Willing to train children?	Yes, all of our grandchildren were very attached to our PWC.
Any allergies?	One or more family members might be allergic to dogs.
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?	We do not anticipate any problems (never had any with previous dog and fish).
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: