Untitled_1940 - Lakeshore Pembroke Welsh Corgi Rescue

Date & Referral Source
State:		Date of Application:	07/21/2018	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, Energetic, Very Active
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?	Our family. This includes a Mom, Dad, Daughter, and Son.
Why do you want a Pembroke?	There are many reasons why Pembroke Welsh Corgis stood out to me when looking for the perfect dog. The main reasons are because of their high energy/love for playing, their loyalty, and just how adorable they are. I have been learning about them for about two years now, and have just recently met a couple of them. I instantly fell in love. After an interaction with them, I knew for sure they were the right breed for me. I have been constantly learning more about there personalitys and how to keep them healthy.
Activities planned with Pembroke:	I would play inside and outside with him/her, go to the dog park 1-2 times a week, and go on three walks per day.
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:	For example, if the Pembroke had an accident in the house, I would clean it up, and make sure he/she is trained properly. I would never yell or try to scare him/her. I will only use positive reinforcement for good things.
Discipline:	I will give the Pembroke time-outs, and/or take his/her toys away, and avoid giving the Pembroke attention when misbehaving.
Where would Pembroke spend the majority of the time:	In our house. A couple hours a day will be spent outside.
Discipline:	I will give the Pembroke time-outs, and/or take his/her toys away, and avoid giving the Pembroke attention when misbehaving. Where would Pembroke spend the majority of the time: In our house. A couple hours a day will be spent outside.
House dog or outside dog?	House dog
People at home during the day?	Five days a week there will always be someone home with the Pembroke. The other two days, I will be at work from 8 a.m. to 4 p.m.
Where would dog eat?	The Pembroke will most likely have his food and water bowls in the kitchen or living room.
Where would dog sleep:	On one of our beds, or in his/her own dog bed (the Pembroke can choose each night).
Play & exercise:	The Pembroke will get approximately two hours a day of walks/runs, and play time. My husband will do a morning a nighttime run, and I will do a afternoon walk. These are usually 30+ minutes. My whole family will play with the Pembroke throughout the day.
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:	In our backyard, we have a patio, with many bushes against the house. We have a average sized backyard. In the front, there is two trees and mini garden.
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?	Michelle Pintar
Willing to train children?	Yes. They already both know how to care for a dog. They also have past experience.
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. The Pembroke will be part of our family, so unless it is neccisary for him/her to be safe, we will not consider rehoming.
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: