Untitled_2156 - Lakeshore Pembroke Welsh Corgi Rescue

Date & Referral Source
State:		Date of Application:	12/21/2018	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, Any age	Gender preferred:	Male	Color preferred:	Any color	Activity level:	Couch Potato, Outgoing, Quiet, Playful, Energetic, Very Active, Other (Please describe in the box below.)
Other preferences:	We work during the day. Like I said, Heather has been wanting a Corgi for a very long time, and we were waiting until one of the cats died to get a dog, so we didn't have too many animals. Now we have space. We have a small house, and a mostly fenced in yard, which I'll probably enclose if we get a dog. All I need is a security check and a gate over the driveway. We are in our late 30s and in good health. I think we can have a dog now. If this whole adoption thing doesn't work out, we'll have to track down a breeder I guess, which we'd rather not do. But we're not in a bug hurry either.
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?	It's for us, but mostly Heather. She's wanted a Corgi for ever. We had two cats, and it's just the two of us, so we couldn't take on more animals until one passed away. So one of our cats had to be put down a week ago, due to a cancer. Now we have room in the house, our other cat was adopted from a home that had two dogs and he was fine with them.
Why do you want a Pembroke?	Heather wants one.
Activities planned with Pembroke:	Walk, play ball, pets.. I dunno.
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.
Discipline:	I like positive reinforcement.
Where would Pembroke spend the majority of the time:	Inside.
Discipline:	I like positive reinforcement. Where would Pembroke spend the majority of the time: Inside.
House dog or outside dog?	House dog
People at home during the day?	Nope.
Where would dog eat?	Inside.
Where would dog sleep:	Inside.
Play & exercise:	Walk and play. Heather will do stuff.
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?	95% complete. 4 foot high. Chain link.
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:	City lot size yard. No pool. Green grass. A few bushes 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?	Heather
Willing to train children?	Sure.. No kids.
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: