Untitled_2003 - Lakeshore Pembroke Welsh Corgi Rescue

Date & Referral Source
State:		Date of Application:	08/31/2018	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:	Any age	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?	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?	Hello, Our family is interested in adopting a Pembroke for our older female corgi mix.
Why do you want a Pembroke?	My Husband and I love everthing about our Corgi mix. Ladigrace is a perfect. Her temperment, soul, propensety, sweetness and ability to be great with kids, people and other dogs is beyond perfect.
Activities planned with Pembroke:	Walk and handout at the beach.
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:	Train her properly. Follow protocal. Ask a vet. Give her love. Let her get away with it.
Discipline:	Firm commannds. But usually she gets away with 99% od what she does.
Where would Pembroke spend the majority of the time:	Home. Work. Hopefully outside walking. With us mostly.
Discipline:	Firm commannds. But usually she gets away with 99% od what she does. Where would Pembroke spend the majority of the time: Home. Work. Hopefully outside walking. With us mostly.
House dog or outside dog?	House dog
People at home during the day?	Yes
Where would dog eat?	Home. Work.
Where would dog sleep:	Our room usually. She has like 8 beds anyway throughout the house. 2 at work. One in the car.
Play & exercise:	Walking and exercise is not a problem. My husband is an avid runner and I am an avid walker.
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?	6 foot wood fence all around the property with neautiful garden, grass, deck etc….
Living arrangements:	Own home
Landlord info:
May we contact your landlord?
Lease allow dogs:
Landlord permission:
Restrictive covenants?	No, the condo covenants do not prevent me from having a dog.
Breed/size restrictions?	No
Description of yard:	Mentioned above.
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?	Tom Tsatas and Yolanda
Willing to train children?	We do not have any children.
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.
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: