Untitled_2169 - Lakeshore Pembroke Welsh Corgi Rescue

Date & Referral Source
State:		Date of Application:	12/29/2018	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:	Either a Male or a Female	Color preferred:	Any color	Activity level:	Couch Potato, Outgoing, Quiet, Playful, Energetic, Very Active
Other preferences:
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?	Myself and my 13 year old daughter.
Why do you want a Pembroke?	Our PW corgi passed away at the age of 10 3 years ago. Aside from their adorable looks we love the Corgi temperment for our family. They are playful, loving, protective and are great snugglers.
Activities planned with Pembroke:	Lots of walks, frisby or fetch (whichever the furbaby prefers), tug with dog ropes, dog toys/ stuffed animals (for dogs), road trips and lots of snuggles!
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?	No
Vet contact info:
Will handle mistakes Pembroke makes like this:	Take to/ show correct way in normal demeanor. Never show frustration animals like humans are not perfect.
Discipline:	Redirection and reward on correction
Where would Pembroke spend the majority of the time:	At our home.
Discipline:	Redirection and reward on correction 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?	Monday – Friday during work/ school no one would be home between 8-2.
Where would dog eat?	Home, in the kitchen
Where would dog sleep:	With us in our rooms/ beds or in another spot they prefer inside the house
Play & exercise:	Daily walks at least 2 times a day and play fetch in the backyard, depending on weather. If weather not permitting play with tug toys inside
How will you exercise your dog?	Both on leash and restrained to the yard
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:	Mid size yard mostly grass with a small concrete pation off slidong glass door, 3 trees and a few bushes line a section of the yard. All neighbors surounding our home have fences.
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?	Melissa
Willing to train children?	Yes, she has already been taught
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?	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: