Untitled_2103 - Lakeshore Pembroke Welsh Corgi Rescue

Date & Referral Source
State:		Date of Application:	11/17/2018	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:	Any age	Gender preferred:	Either a Male or a Female	Color preferred:	Any color	Activity level:	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?	Both of , we own a 13 yr old male husky.
Why do you want a Pembroke?	We have always liked corgis since we worked with Adopt A Husky as volunteers and Adopt a Husky founder Lois Leonard. Lois raised corgis along with her huskies. We feel at this time in our lives we need to move to a smaller breed than a husky and that corgis would be an ideal fit.
Activities planned with Pembroke:	We currently walk 3 miles a day with Comet, our Husky. We also have a large (1/2 acre) of fenced yard.
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:	Clean it up and positive reinforcement.
Discipline:	Verbal "No". Remove them situation.
Where would Pembroke spend the majority of the time:	We have crates if needed, but eventual all our dogs have earned run of the house less the Dinning Room and Living Room which can be blocked off if necessary.
Discipline:	Verbal "No". Remove them situation. Where would Pembroke spend the majority of the time: We have crates if needed, but eventual all our dogs have earned run of the house less the Dinning Room and Living Room which can be blocked off if necessary.
House dog or outside dog?	House dog
People at home during the day?	We both work day jobs, but are close enough to come home at lunch as necessary. Our oldest daughter is a part time student and is normally home in the early afternoon.
Where would dog eat?	We have always fed our dogs in separate locations at the same time to avoid any possible issues.
Where would dog sleep:	Ideally they would sleep in the master bedroom on a dog bed. Crating is always an option if necessary.
Play & exercise:	3 miles of walking a day, supervised yard time with Comet.
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?	Five foot wood picket fence, the bottom currently has logs along it to prevent digging along the fence line. (20 plus years of huskies will make you do this)
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:	3/4 Acre wooded corner lot of which a 1/2 acre is fenced. The fenced part of the yard is mainly grass and a few 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?	Steve & Shirley
Willing to train children?	Both Daughters have been around Huskies their whole life.
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?	We have always been able to work through issues. For 12 plus years we were a 3 husky house.
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: