Untitled_2138 - Lakeshore Pembroke Welsh Corgi Rescue

Date & Referral Source
State:		Date of Application:	12/07/2018	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, 5 years – 10 years	Gender preferred:	Female	Color preferred:	Red & White, Red Headed Tri, Black Headed Tri, Sable & White, Any color	Activity level:	Outgoing, Playful, Energetic
Other preferences:	I don’t have any children and don’t plan to but would love a dog that is good with people.
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?	For myself, my husband and our 6 yr old dog Beau
Why do you want a Pembroke?	I grew up with horses and spent a ton of time with other horse people and have always been around farm or herding dogs. As family dogs growing up we have had border collies, jack russels, blue heelers and aussies. I love the herding breeds and we had some good family friends who had corgis. I love that they are smaller dogs with big dog personality. I love how spunky and intelligent they are.
Activities planned with Pembroke:	We take our dog on lots of walks and hikes. I would love to teach them some tricks or maybe do some agility type activities (nothing too crazy) but just for fun.
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:	Letting them know right away that they made a mistake and correcting them. I verbally discipline- no hitting the dog.
Discipline:	Verbal, showing them what they did wrong and telling them no
Where would Pembroke spend the majority of the time:	With me- I work from home so I am with the dogs all day.
Discipline:	Verbal, showing them what they did wrong and telling them no Where would Pembroke spend the majority of the time: With me- I work from home so I am with the dogs all day.
House dog or outside dog?	House dog
People at home during the day?	Yes
Where would dog eat?	In the kitchen where we keep the dog bowls
Where would dog sleep:	In our bedroom on a pet bed or if it’s a puppy I will plan to crate train
Play & exercise:	As much as they want, I currently let my dog in and out all day long so he can chase squirrels in our yard. Sometimes when it’s nice I work outside on the deck so they can be outside (generally the will stay out longer if I am outside too)
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?	My backyard is about 3/4 acre and is completely fenced in with wooden privacy fence
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:	large fenced in yard with several mature trees, no water
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?	Liz
Willing to train children?	Yes but we do not plan on having 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?	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: