Untitled_2087 - Lakeshore Pembroke Welsh Corgi Rescue

Date & Referral Source
State:		Date of Application:	11/11/2018	Referred by:	Other
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, 5 years – 10 years	Gender preferred:	Either a Male or a Female	Color preferred:	Any color	Activity level:	Couch Potato, Outgoing, Quiet, Playful, Energetic
Other preferences:
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?	We would like to adopt a rescue Pembroke for our own home.
Why do you want a Pembroke?	We have rescued two dogs in the past (a Fox Hound and a Border Collie/Spaniel mix). They both lived well into their teens, with the last one passing two months ago. We knew we wanted a smaller dog as our next rescue. When we spoke with our dog trainer about adopting another dog he suggested a Corgi rescue. We have always considered corgis to be a sweet breed as well.
Activities planned with Pembroke:	Regular walks of course. We also would want a dog who would be up for a car ride or a weekend adventure. And movie nights at home.
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:	We try to reinforce positive behaviors when they occur. If we see an undesirable behavior we try to correct it into a desirable behavior and then give a reward.
Discipline:	We use “no” or “leave it” and try to encourage the dog to sit calmly and distract them from the object that is causing the reaction.
Where would Pembroke spend the majority of the time:	Our rescues are crated at night or when we leave until we feel they can be left on their own. After that they can sleep wherever they want.
Discipline:	We use “no” or “leave it” and try to encourage the dog to sit calmly and distract them from the object that is causing the reaction. Where would Pembroke spend the majority of the time: Our rescues are crated at night or when we leave until we feel they can be left on their own. After that they can sleep wherever they want.
House dog or outside dog?	House dog
People at home during the day?	Michael works from home. He and the dog will keep each other company during the day.
Where would dog eat?	We have a feeding station in the kitchen.
Where would dog sleep:	At first in a crate and then wherever he/she wants.
Play & exercise:	Since Michael works from home there will be plenty of opportunities for outside play and walks.
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:	We have just under an acre of land with a small garden and an open grassy area. We have many mature trees for lots of shade. We live in a neighborhood where there are a lot of people walking their dogs, and we miss seeing them now that our Border Collie has passed. We are looking forward to that again.
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?	Michael
Willing to train children?	Our kids are in college but have grown up in a hone with cats and dogs.
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 are used to bringing new animals into our home and having them all live peacefully. We don’t foresee have two dogs but we may have another cat at some point.
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: