Untitled_2037 - Lakeshore Pembroke Welsh Corgi Rescue

Date & Referral Source
State:		Date of Application:	09/28/2018	Referred by:	Friend
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	Gender preferred:	Either a Male or a Female	Color preferred:	Any color	Activity level:	Couch Potato, Outgoing, Quiet, Playful, Energetic
Other preferences:	Must be good with other dogs and children. My son and daughter are 8 & 5.
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.
Why do you want a Pembroke?	I love corgis! I love there demeanor and they quirky personality.
Activities planned with Pembroke:	I love to walk my other dog. We go to the park with my kids and play ball and go swimming. we have a huge fenced in back yard to play too!
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:	I would redirect and try again. Accidents happen.. clean it up, and let him/her outside.
Discipline:	Stern no's and other types of commands they I have used in all my dogs while training. I have experience with border collies, so my training methods are set pretty high.
Where would Pembroke spend the majority of the time:	I do not agree with owners that leave their dogs outside. They will have a place inside with the rest of the family. I do create train my dogs and they will only be placed in a crate while we are not home.
Discipline:	Stern no's and other types of commands they I have used in all my dogs while training. I have experience with border collies, so my training methods are set pretty high. Where would Pembroke spend the majority of the time: I do not agree with owners that leave their dogs outside. They will have a place inside with the rest of the family. I do create train my dogs and they will only be placed in a crate while we are not home.
House dog or outside dog?	House dog
People at home during the day?	No, however, either my husband or I come home on our lunches to let our current dog out to go potty.
Where would dog eat?	Inside with my other dog.
Where would dog sleep:	Until he or she got adapted to their new home, in a kennel. Once we get to know each other and bond, there is no room that is off limits. It may sleep where it likes.
Play & exercise:	We have a huge fenced in back yard. We also do regular walks to our local park and it will have plenty of "cousin" pups to play with.
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?	I'd say the wood fence is about 5 feet 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:	We have a swing set and a decent size deck. The yard is clean, but always has kids toys.
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?	Candice Sampson
Willing to train children?	Yes, both of my children are very aware of the proper treatment and care of any pet.
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, absolutely.
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: