Untitled_2095 - Lakeshore Pembroke Welsh Corgi Rescue

Date & Referral Source
State:		Date of Application:	11/13/2018	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	Gender preferred:	Either a Male or a Female	Color preferred:	Any color	Activity level:	Couch Potato, Outgoing, Quiet, Playful, Energetic
Other preferences:	Would get along with another dog (5-year-old border collie mix).
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?	The family, but Susan will be the primary caretaker.
Why do you want a Pembroke?	They're like a bigger dog in a small body; intelligent, so trainable; athletic and fun; and, of course, very cute.
Activities planned with Pembroke:	Obedience training, walking, playing fetch and with toys, agility (we have a backyard set), teaching tricks.
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:	Stop and redirect him/her. Modify whatever in the environment contributed to the mistake. Praise for desired behavior.
Discipline:	Positive reinforcement for desired behavior. Quick voice correction for undesired behavior, then redirect to a desired behavior.
Where would Pembroke spend the majority of the time:	This would depend on the individual dog. While we're gone, in a crate if needed; if not, then in the house with our other dog. Outside under supervision/when being exercised.
Discipline:	Positive reinforcement for desired behavior. Quick voice correction for undesired behavior, then redirect to a desired behavior. Where would Pembroke spend the majority of the time: This would depend on the individual dog. While we're gone, in a crate if needed; if not, then in the house with our other dog. Outside under supervision/when being exercised.
House dog or outside dog?	House dog
People at home during the day?	Not between 8 am and 4 pm.
Where would dog eat?	In the kitchen.
Where would dog sleep:	Probably in Susan's bedroom.
Play & exercise:	Walking, training, playing with toys, playing with the other dog. At least twice a day.
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?	We have an invisible fence and have trained 3 dogs (border collie, CKC spaniel, and border collie mix) to use it, but none of them are/were ever outside alone for any length of time.
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:	Medium-sized backyard, no swimming pool or other big fixtures.
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?	Susan
Willing to train children?	Yes, we have 2 other children who are grown and grew up with puppies and dogs.
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: