Untitled_2140 - Lakeshore Pembroke Welsh Corgi Rescue

Date & Referral Source
State:		Date of Application:	12/10/2018	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:	Any age	Gender preferred:	Either a Male or a Female	Color preferred:	Red & White, Red Headed Tri, Black Headed Tri, Sable & White, Any color	Activity level:	Couch Potato, Outgoing, Quiet, Playful, Energetic, Very Active, Other (Please describe in the box below.)
Other preferences:	Needs to be ok with other dogs
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?	My husband and I would love to add another corgi to our family
Why do you want a Pembroke?	We’ve had corgis for the last 4 years. We love how smart and affectionate they are. We recently lost one of our corgis due to seizures. But after exhausting all options with specialists and medications, we decided not to let prolong his suffering. We now only have one corgi left and feel an emptiness now that our other corgi is gone.
Activities planned with Pembroke:	We have a large fenced in yard where we play with our corgis and let them run free for exercise. We play corgi soccer with a giant ball and chase balls around with our corgis.
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:	Positive reinforcement with treats
Discipline:	We use positive reinforcement to correct actions
Where would Pembroke spend the majority of the time:	Loose in our house
Discipline:	We use positive reinforcement to correct actions Where would Pembroke spend the majority of the time: Loose in our house
House dog or outside dog?	House dog
People at home during the day?	We are gone 6 house during the day
Where would dog eat?	We supplement blue mountain red meat kibble with lean cuts of cooked turkey or bottom round beef roast and broccoli
Where would dog sleep:	Loose around the house at night. They would only be crated during the day for about 6 hours while we r at work
Play & exercise:	Morning and evening walks and loose running in our fenced yard
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?	We have. 6 foot wooden fence around our huge yard
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 wooden fenced yard
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?	Sindy Sun
Willing to train children?	Yes absolutely. My son is very involved with taking care of our dogs
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 of course
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: