Untitled_2075 - Lakeshore Pembroke Welsh Corgi Rescue

Date & Referral Source
State:		Date of Application:	10/31/2018	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:	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:	Outgoing, Quiet, Playful, Energetic
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?	Both of us, this will be our dog.
Why do you want a Pembroke?	My fiancee and I have talked about having a dog for over a year now. I always had a boxer growing up and love them but we've fallen in love with the quirky personality of all the corgis we have met. We've done a lot of research and believe a corgi fits in great with our active lifestyle. The clever and challenging actions of corgis would keep us on our toes and we know we would be able to keep one entertained.
Activities planned with Pembroke:	Hike, kayak, walk, go to the lake. He/she would have a ton of time to explore outdoors in our large fenced yard as well.
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:	Correct the mistake. Be firm with them and correct immediately so they understand what was wrong and you correct the right behavior.
Discipline:	Verbal correction, stop giving them affection for a period of time (10-15 min) after a repeated bad behavior.
Where would Pembroke spend the majority of the time:	In our house.
Discipline:	Verbal correction, stop giving them affection for a period of time (10-15 min) after a repeated bad behavior. Where would Pembroke spend the majority of the time: In our house.
House dog or outside dog?	House dog
People at home during the day?	No, but I would come home at lunch daily.
Where would dog eat?	In our kitchen.
Where would dog sleep:	In our bedroom in a crate or in a doggy bed.
Play & exercise:	Morning walks, evening walks. Frequent trips to state parks and hiking trails. Fetch. The dog would have at least an hour a day to exercise.
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?	Chain link.
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 fenced in yard with mature trees.
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?	Nick Wainio
Willing to train children?	Yes
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: