Untitled_1961 - Lakeshore Pembroke Welsh Corgi Rescue

Date & Referral Source
State:		Date of Application:	08/07/2018	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:	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?	me
Why do you want a Pembroke?	I've always enjoyed the breed. I've owned other dog breeds, not a Corgi. I admire their intelligence, their athleticism, the working breed nature.
Activities planned with Pembroke:	walks, agility courses, weekend adventures, goofing off in the yard.
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:	Determine what commands the dog understands. Ensure the dog knows what No means and enforce that the mistake is a 'No' verbally. I need to be firm with the dog and reward good behavior. Always be friendly, never mean, no physical treatment.
Discipline:	Again, the trainer/owner needs to be firm but friendly with the dog. Show them right from wrong based on events that occur. Reward them with a treat when one can but not all the time. A 'good boy, good girl' can be reward enough along with additional activity, brushing, stroking, etc.
Where would Pembroke spend the majority of the time:	I work during the day so the dog would be inside. Once home, we would be in and out of the home.
Discipline:	Again, the trainer/owner needs to be firm but friendly with the dog. Show them right from wrong based on events that occur. Reward them with a treat when one can but not all the time. A 'good boy, good girl' can be reward enough along with additional activity, brushing, stroking, etc. Where would Pembroke spend the majority of the time: I work during the day so the dog would be inside. Once home, we would be in and out of the home.
House dog or outside dog?	House dog
People at home during the day?	normally no.
Where would dog eat?	in the house
Where would dog sleep:	in my bedroom
Play & exercise:	the Corgi would get exercise and play time each day but it would come early in the morning and at night.
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:	1/3 acre lot. back yard could easily be fenced in with 65 feet of fencing. front yard is open. No pools, ponds,
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?	Carl Juckett
Willing to train children?	yes
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?	no other pets so 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: