Untitled_2025 - Lakeshore Pembroke Welsh Corgi Rescue

Date & Referral Source
State:		Date of Application:	09/19/2018	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:	1 year – 3 years, 3 years – 5 years	Gender preferred:	Either a Male or a Female	Color preferred:	Any color	Activity level:	Couch Potato, Outgoing, Quiet, Playful, Energetic, Very Active
Other preferences:	We live in a retirement community where nearly everyone has a dog, so a dog that is aggressive toward adults or other dogs is not an option for us.
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?	Both of us
Why do you want a Pembroke?	We have researched the breed and spoken friends who are owners. Our last dog of 16 years was a Lancashire Heeler named Dynamite, so we are accustomed to very vocal, active, and somewhat independent pets.
Activities planned with Pembroke:	We are used to 20 minute walks three times a day, some ball playing, and scent games. Since we are retired our dog goes with us most of the time., even on errands, and always when we travel. We winter in Arizona December-April and our dog goes with us.
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:	Return to training steps
Discipline:	We prefer training and treat reinforcement to discipline.
Where would Pembroke spend the majority of the time:	With us.
Discipline:	We prefer training and treat reinforcement to discipline. Where would Pembroke spend the majority of the time: With us.
House dog or outside dog?	House dog
People at home during the day?	Yes or our dog is with us. If we go to we would crate in the bedroom until confident the dog was comfortable being left alone with the run of the house
Where would dog eat?	Food and water bowls in the kitchen
Where would dog sleep:	Either with us or in a bed on the floor.
Play & exercise:	Our home has a fenced yard and we have several miles of walking trails around a lake. We walked our dog and played ball every day that weather permitted
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?	Narrow vinyl picket fence 4.5’ tall
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:	Backyard is fenced with a patio. No other buildings and 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?	Dennis
Willing to train children?	Yes
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: