Untitled_1996 - Lakeshore Pembroke Welsh Corgi Rescue

Date & Referral Source
State:		Date of Application:	08/28/2018	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:	0 months – 1 year (we rarely get dogs in this age group), 1 year – 3 years, 3 years – 5 years, 5 years – 10 years	Gender preferred:	Either a Male or a Female	Color preferred:	Red & White, Red Headed Tri, Black Headed Tri, Sable & White, Any color	Activity level:	Couch Potato, Outgoing, Playful, Energetic, Other (Please describe in the box below.)
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?	Erin with Ruth as a secondary
Why do you want a Pembroke?	I would like to adopt a Pembroke because I absolutely love the quirkiness of the breed. I love that the dogs have some of the biggest egos and yet they are the most loyal dogs I've ever met. Lots of my friends have corgis or have had them in the past and I fall in love with those goofy ears and smile every time. I also love that they can be complete couch potatoes but also love to run around and play ball.
Activities planned with Pembroke:	Walking, fetch, lounging, training, the lake
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:	If there's a mess in the house take them immediately outside and encourage them to go potty or do their stuff outside but each dog is different so will also depend on the individual how best to teach them
Discipline:	Encouragement with the right choice, helping them figure out the right choice, telling them off or down or no and if they don't making them move how I want to by helping them off or down.
Where would Pembroke spend the majority of the time:	Inside on the couch or in the dog bed. Never would be left outside without supervision
Discipline:	Encouragement with the right choice, helping them figure out the right choice, telling them off or down or no and if they don't making them move how I want to by helping them off or down. Where would Pembroke spend the majority of the time: Inside on the couch or in the dog bed. Never would be left outside without supervision
House dog or outside dog?	House dog
People at home during the day?	Mostly yes. Few times when we are at work they might be alone with the two other dogs
Where would dog eat?	Kitchen
Where would dog sleep:	Wherever they are most comfortable. Bed. Couch. Dog bed. Floor. Crate. Etc.
Play & exercise:	We have a fenced in yard and beings the two dogs currently have lots of experience with smaller dogs they will have the option to play with them as well as having me play with all of them.
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?	The fence is 4 foot high surrounding the entire back yard. My larger dogs solidly respect the fence and have no problem with it.
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:	Fenced in yard with deck and stairs.
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?	Erin Kay
Willing to train children?	N/a as no children in home
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?	Absolutely. No dog should be brought into and kept in a house where it cannot remain comfortable and feeling like it is at home. If the dog is not comfortable we will find a way to help or worst case relinquish back to the rescue to find a much better home.
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: