Untitled_2019 - Lakeshore Pembroke Welsh Corgi Rescue

Date & Referral Source
State:		Date of Application:	09/12/2018	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:	Any color	Activity level:	Couch Potato, Outgoing, Quiet, Playful, Energetic
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?	Myself and my two children (12 and 17)
Why do you want a Pembroke?	My daughter has been obsessed with this breed for years, to the point where she tears up with joy! I started researching the breed last year and enjoy the thought of having a companion breed who loves to snuggle as well as play and exercise. We had rescued a chihuahua and I loved having a smaller dog and really miss his company.
Activities planned with Pembroke:	Walk! I need a walking companion and I plan to make him or her my travel buddy when I leave the house to be social with friends. Most of my friends have dogs and I’d like to be able to join them at the dog park.
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:	My chihuahua was temperamental and often tested boundaries. I make time to train my dogs to correct behavior. My pets are like my children, no corporal punishment in my home.
Discipline:	See above
Where would Pembroke spend the majority of the time:	I work about 4-5 hours per day outside of my home. While I am gone he will likely be “kenneled” in the kitchen area in case of accidents. (The floor is easy to clean in there). Otherwise he will be free to roam the home.
Discipline:	See above Where would Pembroke spend the majority of the time: I work about 4-5 hours per day outside of my home. While I am gone he will likely be “kenneled” in the kitchen area in case of accidents. (The floor is easy to clean in there). Otherwise he will be free to roam the home.
House dog or outside dog?	House dog
People at home during the day?	See above. I am home about 18-19 hours per day.
Where would dog eat?	Kitchen
Where would dog sleep:	Where ever he is comfortable. I encourage snuggling in bed if that’s where they like to be.
Play & exercise:	My children and I love to walk. We have an open field a block from our home where animals can run. Our neighborhood is very pet friendly and our town has a ton of hiking trails. Our local Humane Society also has an amazing dog park we can use for a small fee.
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:	1/4 acre lot which includes front and back yard. I plan to fence the front yard in spring.
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?	Amber
Willing to train children?	We have owned pets over the years and they are very good with animals.
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?	Our cats pretty well keep to themselves unless they are hungry or want to sit in the window 🙂 Introductions will be slow and gentle.
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: