Untitled_1901 - Lakeshore Pembroke Welsh Corgi Rescue

Date & Referral Source
State:		Date of Application:	06/28/2018	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	Gender preferred:	Either a Male or a Female	Color preferred:	Any color	Activity level:	Outgoing, Playful, Energetic
Other preferences:	ok with kids around the house
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?	For our son, He wants it for his first pet.
Why do you want a Pembroke?	It's my son's first choice as a dog pet. We love that it is small and with our guidance he will be able to take care and train the dog easily. It is also a smart dog so as a first pet it will be easy for him to train and do a lot of activities.
Activities planned with Pembroke:	walking in the park, playing, mental stimulation and train him with simple commands.
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?	No
Vet contact info:
Will handle mistakes Pembroke makes like this:	Call it, or get it's attention and get it away from the situation. Be calm and don't chase the dog. Say "no" to what it was doing wrong.
Discipline:	Consistency and giving it treats when it's successful in training.
Where would Pembroke spend the majority of the time:	House and backyard.
Discipline:	Consistency and giving it treats when it's successful in training. Where would Pembroke spend the majority of the time: House and backyard.
House dog or outside dog?	House dog
People at home during the day?	yes
Where would dog eat?	in the kitchen.
Where would dog sleep:	in my son's room.
Play & exercise:	At least 2 hours outside, and two walks each day. We'd give more playtime inside, On the week ends we spend half of the day in the backyard so the Corgi will be be us too.
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 half wood 5ft and half chain link fence in the backyard, the chain link fence is surrounded by evergreen and trees.
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:	Our yard have a fence surrounded by Evergreen and trees. We have a swimming pool which we cover if we do not use.
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?	Royden & Jaicem
Willing to train children?	Yes my husband and I grew up owning dogs in the family and we have an idea how to raise and train dogs and we are willing to teach our son how to do it properly.
Any allergies?	No one is allergic.
Current pets:
Current pets dog friendly?
Are you willing to work on it if your new dog doesn’t get along with your current pets right away?	n/a
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: