Untitled_2104 - 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:	0 months – 1 year (we rarely get dogs in this age group), 1 year – 3 years	Gender preferred:	Female	Color preferred:	Red & White, Sable & White	Activity level:	Couch Potato, Outgoing, Playful, Energetic, 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?	This corgi is for us but mostly me. My alpha corgi died about 4 months ago. Our next courting will be my service dog again but also so loved and spoiled. She would be one lucky corgi and so would I.
Why do you want a Pembroke?	I had a corgi, my service dog, for ten years. I loved her playfulness, her silliness, her ability to love. Her different kinds of barks that meant different things. Her protectiveness and since she was alpha, her ability to control the hour (cats dogs daughter) when she had to. We loved her so much.
Activities planned with Pembroke:	We took her most places with us as she was my service dog. She was kind and gentle with everyone. Everyone she met loved her. Mostly walking, playing ball, swimming ( with a life jacket). Playing with toys
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:	Depends on the mistake. Sometimes you can just remove them from what they are doing. Other times we tell them “no”. We NEVER hit our Dogs or use any other form of physical discipline.
Discipline:	See above in the house
Where would Pembroke spend the majority of the time:	In the house when she’s not out playing in her fenced in backyard or meeting her public.
Discipline:	See above in the house Where would Pembroke spend the majority of the time: In the house when she’s not out playing in her fenced in backyard or meeting her public.
House dog or outside dog?	House dog
People at home during the day?	Yes
Where would dog eat?	in The kitchen, separated from her corgi brother.
Where would dog sleep:	In my bed 😁
Play & exercise:	As much as sh wants. She can run in the backyard and play with her corgi bro, play ball, dog holes, play in dog pool.
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?	6 foot wooden fence around entire back yard, yard is apex. 40×50 ft.
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:	Pool is being removed. 6 foot wooden fence around back yard. Yard is about 40×50 ft.
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?	Chris
Willing to train children?	No children
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?	Absolutely
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: