Untitled_2168 - Lakeshore Pembroke Welsh Corgi Rescue

Date & Referral Source
State:		Date of Application:	12/28/2018	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:	0 months – 1 year (we rarely get dogs in this age group), 1 year – 3 years, 3 years – 5 years	Gender preferred:	Female	Color preferred:	Any color	Activity level:	Couch Potato, Outgoing, Quiet, Playful
Other preferences:	Must at least tolerate other dogs. Our current dog Winston is a very relaxed laid back guy,
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. No children in the household, we have one dog currently, he's an 8 year old male mixed breed named Winston.
Why do you want a Pembroke?	I don't have first hand experience with the breed, but I've done research on them and I love the look of the breed, and how intelligent they are. I also think they are a great size, not too big or too small.
Activities planned with Pembroke:	Indoor play, outdoor walks, trips to the dog park, and socialization visits with our friends dogs.
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:	If caught in the act I would give a stern "No" and redirect their behavior.
Discipline:	I use positive reinforcement, not discipline
Where would Pembroke spend the majority of the time:	Inside the home with us.
Discipline:	I use positive reinforcement, not discipline Where would Pembroke spend the majority of the time: Inside the home with us.
House dog or outside dog?	House dog
People at home during the day?	No
Where would dog eat?	inside, in the kitchen
Where would dog sleep:	inside, in our room or living room
Play & exercise:	We will play inside and go for walks around our home, and take the corgi for play dates at the dog park and with our friends who have dogs.
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:	We have a medium sized yard, it's level with a few trees, a small shed, and right next door is a government forrest with a nice walking path.
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?	Amanda Swabon
Willing to train children?	We do not have children, and have no plans to have them in the near future
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, we know it may take some time to get used to the new dynamic.
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: