Untitled_2128 - Lakeshore Pembroke Welsh Corgi Rescue

Date & Referral Source
State:		Date of Application:	12/03/2018	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:	1 year – 3 years, 3 years – 5 years, 5 years – 10 years	Gender preferred:	Either a Male or a Female	Color preferred:	Any color	Activity level:	Couch Potato, Quiet, Playful
Other preferences:	We do have indoor cats and rabbits as well, so any dog we take home would need to be ok with them.
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?	Our family.
Why do you want a Pembroke?	We've had a corgi in the past and we miss having a clever, goofy little cuddle monster in the house. We owned our previous corgi for 7 years until he passed this autumn, and prior to his adoption had done extensive research before taking him home. He was silly and sweet and was incredibly good with the cats and rabbits in the household.
Activities planned with Pembroke:	Couch cuddling, walks to the park, training classes, playtime.
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 situation. I tend to ignore bad behavior and encourage good behavior. Accidents in the house are cleaned up but not punished.
Discipline:	Positive reinforcement & clicker training.
Where would Pembroke spend the majority of the time:	In the house.
Discipline:	Positive reinforcement & clicker training. Where would Pembroke spend the majority of the time: In the house.
House dog or outside dog?	House dog
People at home during the day?	Most days of the week one of us is home during the day.
Where would dog eat?	In the kitchen.
Where would dog sleep:	In their crate or by our bed.
Play & exercise:	We live a block away from our local park, and a few miles from a large off-leash dog park/hiking trail. We also have a medium sized back yard that they would be allowed supervised playtime in.
How will you exercise your dog?	On leash
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:	Back yard is only partially fenced, containing a compost pile, several trees, and will eventually host a chicken coop in the future. We had plans to finish fencing the back yard until our last dog passed away.
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?	Elizabeth Allen
Willing to train children?	In the unlikely event that I have a child, they will be trained to care for all animals.
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?	If possible I will always attempt to resolve issues between the pets. The only reason I would return the dog would be if he caused extreme stress or presented a danger to the pets already in the home.
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: