Untitled_2008 - Lakeshore Pembroke Welsh Corgi Rescue

Date & Referral Source
State:		Date of Application:	09/03/2018	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:	Other (Please describe in the box below.)
Other preferences:	We have a 10 year old golden doodle. We had an adopted corgi who lived with us for 12 years. After that, we raised two corgi puppies for 12 years each. We’ve been missing the breed and would love to adopt.
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?	Our family
Why do you want a Pembroke?	We love the breed. We love their energy and their large dog feel in a small dog body. We have done research on the breed before. We love them a lot! It’s our favorite breed.
Activities planned with Pembroke:	Go on walks, bring it to our lake house in the summer, let it play with our current dog, and give it lots of love. Possible comfort dog for our daughter who has anxiety.
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:	Figure out why and deal with the situation accordingly.
Discipline:	Gates to prevent the dog from getting into areas they shouldn’t, lots of exercise and attention to enforce positive behaviors.
Where would Pembroke spend the majority of the time:	In the house and on walks. (No fenced in yard)
Discipline:	Gates to prevent the dog from getting into areas they shouldn’t, lots of exercise and attention to enforce positive behaviors. Where would Pembroke spend the majority of the time: In the house and on walks. (No fenced in yard)
House dog or outside dog?	House dog
People at home during the day?	Yes
Where would dog eat?	in our dog room
Where would dog sleep:	with the kids or with us.
Play & exercise:	Going on walks and playing with our other dog. We have a dog park near by as well.
How will you exercise your dog?	On leash
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:	We have an acre of land, which is partially wooded.
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?	Laura and Alden
Willing to train children?	Yes, but they already know how since they’ve had three dogs
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: