Untitled_2108 - Lakeshore Pembroke Welsh Corgi Rescue

Date & Referral Source
State:		Date of Application:	11/18/2018	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:	0 months – 1 year (we rarely get dogs in this age group), 1 year – 3 years	Gender preferred:	Female	Color preferred:	Red & White, Red Headed Tri, Sable & White	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?	Family. Mainly companion dog for 13 year old boy.
Why do you want a Pembroke?	Enjoy the breed. Have always liked "farm" dogs and like the smaller package of a Corgi.
Activities planned with Pembroke:	Walks definitely. Fetch or at least training to fetch. Possibly becoming a traveling companion dog taking it with on trips.
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:	Immediate verbal chastisement using a single word. Removing the dog from the area and caging for a "time out". Then work on programming the proper behavior with verbal rewards, petting and treats.
Discipline:	verbal and short isolation.
Where would Pembroke spend the majority of the time:	indoors
Discipline:	verbal and short isolation. Where would Pembroke spend the majority of the time: indoors
House dog or outside dog?	House dog
People at home during the day?	Not 24/7. Some days yes. Most days people are out for 6 hours at a time.
Where would dog eat?	In kitchen with family
Where would dog sleep:	In a bedroom with 13 year old.
Play & exercise:	We do our own yard work and would keep the dog outside with us while we are there. Plenty of opportunities for running, chasing and fetching
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?	Chain link.
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:	Fenced in yard with hedge row, shed, gazebo and gardens. 80% grass the other part cement patio
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?	Owen
Willing to train children?	Yes. Additional he was primary for our aging Maltese when his sister went off to College.
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: