Untitled_2120 - Lakeshore Pembroke Welsh Corgi Rescue

Date & Referral Source
State:		Date of Application:	11/29/2018	Referred by:	Friend
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	Gender preferred:	Either a Male or a Female	Color preferred:	Any color	Activity level:	Very Active
Other preferences:	We do have a blue heeler that LOVES to play. We also have a cat that keeps to herself. We have kids 12 years and older
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?	Mostly me, yet our kids really, We lost our corgi and really love these dogs and would love to adopt. If I knew you guys existed, would have sent a response.
Why do you want a Pembroke?	Yes, we own a corgi/ Australian mix. She was buay, love to fetch and go on walks. . Suri (her name) was well trained & for as a puppy. She was taken from us and it really devastated us.
Activities planned with Pembroke:	Walks, fetching, lots of play and light hiking)Ft Benjamin. Plenty of cuddling
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:	A firm “no” & maybe a time out
Discipline:	Spray bottle of water works wonders,
Where would Pembroke spend the majority of the time:	Running around the house; in the crate at first until she or he gets used to everything.
Discipline:	Spray bottle of water works wonders, Where would Pembroke spend the majority of the time: Running around the house; in the crate at first until she or he gets used to everything.
House dog or outside dog?	House dog
People at home during the day?	Only after school
Where would dog eat?	Pure Blend Walmart brand
Where would dog sleep:	On a bed , but crate at first as mentioned once they’re used to us
Play & exercise:	Daily walks and constant play. We have energetic kids. They’ll be crazy happy to get a new coegot
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:	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:	Nice backyard, no fence, nothing back there but grass and 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?	Tonya Franklin, chris edmomson, cj edmonson
Willing to train children?	Most definitely, they’re older kids and really want a new puppy/dog
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: