Untitled_2031 - Lakeshore Pembroke Welsh Corgi Rescue

Date & Referral Source
State:		Date of Application:	09/23/2018	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:	Other (Please describe in the box below.)
Other preferences:
Dog Ownership History
Previous dog owner?	No
	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?	I have liked the breed since I first found out about them. I love that they are good with families. I love that they are smart and affectionate. That they love physical activity. I have 2 children that are 13 and 16 and are excited to take their dog for walks to the park and around the neighborhood. My husband and I also like to take walks. I also can bring my dog to work, so it would be great to do that.
Activities planned with Pembroke:	Take him for walks in the neighborhood and park. Play games with him or her at home. Walk him or her around work. I would also look into some sort of classes for him or her.
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:	I would positively encourage the dog to not do the mistake by working with them many times to do something a better way by giving them treats and encouragement when they do things the correct way.
Discipline:	It would be positive reinforcement on how to do things in a better way and would use treats and encouragement to help them to do things in a better way.
Where would Pembroke spend the majority of the time:	In our house except to go to work with me and go outside to play.
Discipline:	It would be positive reinforcement on how to do things in a better way and would use treats and encouragement to help them to do things in a better way. Where would Pembroke spend the majority of the time: In our house except to go to work with me and go outside to play.
House dog or outside dog?	House dog
People at home during the day?	There are not but I would bring my dog to work daily. There are other dogs and people there also, So its a nice way for them to be with other dogs and get used to being around other people. I would ensure that they were comfortable first and take it slow with getting to know other people and dogs.
Where would dog eat?	They would eat in the kitchen area.
Where would dog sleep:	In one of our bedrooms.
Play & exercise:	They would play with me at lunch and breaks at work. There is a large area outside to walk her around. Also inside is a large area also. At home she would be taking alot of walks with my two daughters or myself and my husband and play with her inside and out.
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:	Large back yard with 6 large trees and a few bushes and lots of grass. large front yard with 1 tree and a few bushes, lots of grass.
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?	Maura Starkey
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?	We dont have any other pets for now but we would be willing to if we were to get any future pets.
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: