Untitled_2133 - Lakeshore Pembroke Welsh Corgi Rescue

Date & Referral Source
State:		Date of Application:	12/06/2018	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, 3 years – 5 years	Gender preferred:	Either a Male or a Female	Color preferred:	Any color	Activity level:	Couch Potato, Outgoing, Playful, Energetic
Other preferences:	Must be okay with cats and other dogs. We currently have resident cat who would likely just like to coincide next to the dog, not be a playmate. We do understand that training will be our responsibility to ensure both the dog and the cat understand what’s expected. We also anticipate having another dog in the future and have many friends with dogs who bring them to our home when they visit.
Dog Ownership History
Previous dog owner?	No
	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?	The future pembroke would be an addition to our family.
Why do you want a Pembroke?	We love how social, playful, and active the breed is. Karl and I are active outdoors people who love to take walks and get outside. We are looking for a family dog who is also intelligent and trainable – something corgis are well known for! Depending on if this pup would be the right fit, I would consider training him/her to be a therapy dog. I currently work in a hospital setting and would love to come on my off days as a volunteer and therapy dog. We also have a corgi on our neighborhood block and would love to add another!
Activities planned with Pembroke:	We have a fenced in yard perfect for running and playing fetch. We also live 1.5 blocks from Minneapolis’s extensive trail system where we already do plenty of runs and walking and would love to incorporate a corgi into our routine.
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:	Establishing discipline by using our voice to stop the unwanted behavior and avoid giving the dog attention when they misbehave. We would also be consistent with handling behaviors to avoid creating confusion for the dog on what is appropriate.
Discipline:	Positive reinforcement of good behaviors with use of treats and praise. Quickly disciplining undesirable behaviors as specified about and remaining consistent with them. Obedience training would also be mandatory.
Where would Pembroke spend the majority of the time:	At our home
Discipline:	Positive reinforcement of good behaviors with use of treats and praise. Quickly disciplining undesirable behaviors as specified about and remaining consistent with them. Obedience training would also be mandatory. Where would Pembroke spend the majority of the time: At our home
House dog or outside dog?	House dog
People at home during the day?	Jeanine works 3 days/week (12 hr days) so is home most of the week. Karl works 8-4:30pm Mon-Fri with a flexible schedule allowing him to stop home during the day if needed.
Where would dog eat?	Food placed in kitchen
Where would dog sleep:	Would sleep in bedroom with us
Play & exercise:	We have a fully fenced in yard to play in, trails nearby, and are often home to give our corgi attention, love, and exercise. They would get daily exercise.
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?	Double gated fence (similar to dog parks) that is fully fenced in. Fence is approx 6ft high
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:	Fully fenced in back yard that is double gates on both front sides of the house. There is also a platform deck that extends the length of the house. There is a large ash and birch tree to provide shade. No swimming pool!
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?	Jeanine Meyer
Willing to train children?	Yes
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: