Untitled_2098 - 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:	3 years – 5 years, 5 years – 10 years, 10 years +	Gender preferred:	Either a Male or a Female	Color preferred:	Any color	Activity level:	Couch Potato, Quiet, Playful, Other (Please describe in the box below.)
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?	Myself
Why do you want a Pembroke?	I am looking to adopt a Corgi because I am looking for a small short dog. What I like about this breed is that they are smart and assertive. They are a big dog in a small dog's body. I do not have experience with Corgis but have owned two Swedish Vallhunds so I understand the herding dog personality. I have done research on this breed and know they shed, can bark a lot, and have a tendency to become overweight.
Activities planned with Pembroke:	The activities I would do is go for walks, play ball or Frisbee, take day trips to the beach, visit family, and just plain hang out together.
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:	If I catch them in the act I will immediately say outside and take them outside to finish their job, otherwise I will just clean up the mess but still take the dog outside.
Discipline:	I don't really use discipline but rather positive reinforcement by rewarding with treats.
Where would Pembroke spend the majority of the time:	Most of their time would be spent with me in or outside of my home.
Discipline:	I don't really use discipline but rather positive reinforcement by rewarding with treats. Where would Pembroke spend the majority of the time: Most of their time would be spent with me in or outside of my home.
House dog or outside dog?	House dog
People at home during the day?	No one is home except me when I'm not at work.
Where would dog eat?	They would have a space designated in the kitchen,
Where would dog sleep:	More than likely in my bedroom with me.
Play & exercise:	My Corgi will have play time and exercise with me after work and on days off. Also, there will be plenty of playtime with my grandson. I live very close to a bike/walking trail so there will be daily walks, weather permitting.
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:	Rent/lease home
Landlord info:
May we contact your landlord?	No, you may not contact my landlord.
Lease allow dogs:	Yes, my lease permits dogs.
Landlord permission:	Yes, my landlord is fine with me owning a Pembroke
Restrictive covenants?	Not applicable
Breed/size restrictions?	Yes
Description of yard:	I live in a mobile home park. I have a fairly large yard that currently does not have a fence, but will put one in if I get a dog.
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?	Gail Ansersom
Willing to train children?	Definately
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?	.n/a
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: