Untitled_1982 - Lakeshore Pembroke Welsh Corgi Rescue

Date & Referral Source
State:		Date of Application:	08/18/2018	Referred by:	Other
Contact Information
First name:		Last name:		First name 2:		Last name 2:
Address
Street:
City:			State:		Zip:
Type of Dog Wanted
Ages interested in:	Any age	Gender preferred:	Either a Male or a Female	Color preferred:	Any color	Activity level:	Playful
Other preferences:	I’d love a dog that would have the temperament to visit nursing homes.
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 us
Why do you want a Pembroke?	I adopted 2 dogs from you- Ruby in 2007 and Triscuit, formerly Molly, in 1998. I love corgis and want another one. I adopted them under my maiden name- Heather Robb-DuVal
Activities planned with Pembroke:	Walks, playing in our yard, taking her to visit at nursing homes if she had the temperament.
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:	Kind loving correction. We left be our dogs and never mistreat them.
Discipline:	We reward good behavior with treats and don’t give attention to bad behavior. If there was a serious problem, we would get a dog trainer
Where would Pembroke spend the majority of the time:	At home with us. She would only be alone about 4 hrs a day. My husband leaves late for work and I come home early. We want to involve our dog in as much of our life as we can.
Discipline:	We reward good behavior with treats and don’t give attention to bad behavior. If there was a serious problem, we would get a dog trainer Where would Pembroke spend the majority of the time: At home with us. She would only be alone about 4 hrs a day. My husband leaves late for work and I come home early. We want to involve our dog in as much of our life as we can.
House dog or outside dog?	House dog
People at home during the day?	Yes. See above
Where would dog eat?	In the kitchen
Where would dog sleep:	I have several dog beds. The dog would sleep in a dog bed in our bedroom.
Play & exercise:	We would take her for 3 walks a.day and play with her in our yard and in the house. We have lots of toys!
How will you exercise your dog?	On leash
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?	Yard is partially fenced. We have a fence in the back off the alley. There are 2 lives of bushes on either side. However, we never let our dogs in the yard without being out there with them.
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:	We have a medium size yard- no pool.
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?	Brian and Heather
Willing to train children?	We do not have children. I am menopausal and am not capable of beating any children. The dog will never live with a child.
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
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: