Untitled_1928 - Lakeshore Pembroke Welsh Corgi Rescue

Date & Referral Source
State:		Date of Application:	07/13/2018	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:	Couch Potato, Outgoing, Quiet, Playful, Energetic
Other preferences:
Dog Ownership History
Previous dog owner?	No
	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?	The both of us
Why do you want a Pembroke?	Yes, we have done research on the breed. We love the fact that they are gorgeous and natural herders. We are both active; so an active dog would fit right in. I have had friends that have had corgis and they have always been friendly and good tempered.
Activities planned with Pembroke:	Take him/her on walks, cuddle/affection, play with toys inside and in the backyard.
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:	Stern voice “no” and show it the right way to do it. When doing it correctly, give the dog praise and a treat or whatever else is their motivator.
Discipline:	A stern “no” and not reinforcing that behavior. Showing them the correct behavior and reinforcing that.
Where would Pembroke spend the majority of the time:	In the home. We would ensure that the dog would have access to the backyard throughout the day and go on daily walks.
Discipline:	A stern “no” and not reinforcing that behavior. Showing them the correct behavior and reinforcing that. Where would Pembroke spend the majority of the time: In the home. We would ensure that the dog would have access to the backyard throughout the day and go on daily walks.
House dog or outside dog?	House dog
People at home during the day?	No, however, our neighbor works from joe. And is willing to to let the dog out. My mom works from home, as well, and is also able to assist when needed. Additionally, Andrew’s mom works part time and lives near by to assist.
Where would dog eat?	In a food bowl in the kitchen
Where would dog sleep:	In bed with us if they chose to. Otherwise we would have a dog bed on the floor.
Play & exercise:	We would allow them continuous access to the backyard and have ample toys to play with both inside and outside. We would walk the dog everyday. We would want to make sure the dog has many opportunities to play with the neighbor’s dog, if both dogs get along. If the corgi gets along well with other dogs, We would also like to bring the corgi to a doggie playhouse a couple times throughout the week, especially while we are at work.
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?	Two sides are chain link four ft fence and the third side is a five ft wooden fence.
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:	The house is on a quarter of an acre; so, the dog would have plenty of room to run and play. We also have a deck.
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?	Dana Schrage
Willing to train children?	We currently do not have children but of/when we do we would 100% make sure that the child treats the corgi correctly, as well as other animals he or she may interact with.
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?	Yes definitely. If we ever adopted another animal, prior to adoption, we would make sure that both animals got along. If conflicts arose, we would continue to work on such problems and use training and discipline to help resolve.
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: