Untitled_2062 - Lakeshore Pembroke Welsh Corgi Rescue

Date & Referral Source
State:		Date of Application:	10/15/2018	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, Quiet, Playful, Energetic
Other preferences:	We have a cat and 2 kids ages 5 and 8.
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?	My household
Why do you want a Pembroke?	My best friend had a corgi that we dog sat on a regular basis, we all thoroughly enjoyed having him around. The happy demeanor and the corgi activity level fit well in our household. I'm also a sucker for those little legs and big ears.
Activities planned with Pembroke:	My son would really like to throw the ball for a dog, I need a walking and snuggling buddy, my husband wants a dog to play in the yard with, and my daughter would like a dog to read to.
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:	stay calm, give a stern no, and redirect it to the correct behavior.
Discipline:	positive reinforcement.
Where would Pembroke spend the majority of the time:	While we're at work/school the days would be spent in a kennel or crate, until the dog is able to be trusted and then hanging out in the house. Following work/school the dog would be taken out for a walk and then played with by the kids and my husband and myself.
Discipline:	positive reinforcement. Where would Pembroke spend the majority of the time: While we're at work/school the days would be spent in a kennel or crate, until the dog is able to be trusted and then hanging out in the house. Following work/school the dog would be taken out for a walk and then played with by the kids and my husband and myself.
House dog or outside dog?	House dog
People at home during the day?	no
Where would dog eat?	In the kitchen with us during family dinner
Where would dog sleep:	In bed with my husband and myself, on the dog bed on the floor, or in their crate if that makes them more comfortable.
Play & exercise:	they will have the backyard to play in, multiple dog parks in our area, the kids and I will walk it.
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:	we have a deck in the backyard with 2 steps to get up onto.
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?	Jennifer Larson
Willing to train children?	yes, and we've already worked with them on this with our cat
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: