Untitled_2180 - Lakeshore Pembroke Welsh Corgi Rescue

Date & Referral Source
State:		Date of Application:	01/05/2019	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:	Any color	Activity level:	Couch Potato, Outgoing, Quiet, Playful
Other preferences:	We currently have a 12 y/o Bichon/Westie Mix who is very quiet and gentle
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?	Ann
Why do you want a Pembroke?	We love Pembrokes because they're so kind with humans and other animals, and we love how smart and clever they are. We've had relatives with corgis that we absolutely love interacting with, and Lucy's workplace has two corgis that come in and out of her work place that she's gotten to know over the past two years whom she loves playing with. We also love how fast they run, it's so much fun to watch them bolt off when you're throwing toys for them. We've done research on the breed, watched some informational videos to understand what the typical characteristics of the dogs are, and how to care for them best.
Activities planned with Pembroke:	We have a pretty big fenced in yard with a pool that we love taking our current dog in, so we'd love for the corgi to join us! We live in a quiet neighborhood with some parks and church yards that we walk to as well.
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:	Try to determine why the mistake was made, i.e. was it human error? Were we not clear on something and confused the dog? Or does the dog require further training? With our current dog, we use commands like "no" and "down"
Discipline:	We use positive reinforcement techniques – reward the dog wth praise, and if motivated by treats, use dog approved treats. Repeat, repeat, repeat. Stay calm with the dog and watch to see if they understand what you are asking them to do.
Where would Pembroke spend the majority of the time:	Our current dog has full access to our home. We would acclimate a new dog to our home and as they become comfortable they would also have full range. The dog would also have our fenced in back yard.
Discipline:	We use positive reinforcement techniques – reward the dog wth praise, and if motivated by treats, use dog approved treats. Repeat, repeat, repeat. Stay calm with the dog and watch to see if they understand what you are asking them to do. Where would Pembroke spend the majority of the time: Our current dog has full access to our home. We would acclimate a new dog to our home and as they become comfortable they would also have full range. The dog would also have our fenced in back yard.
House dog or outside dog?	House dog
People at home during the day?	Yes. Ann works full time, but is 5 minutes from home, and usually comes home at lunch to walk the dog. Ann's husband is retired and is home most days.
Where would dog eat?	In the kitchen. They would have their own designated food bowl and water bowl.
Where would dog sleep:	They would have their own dog bed. Once comfortable in our home the bed can be placed in any room. Our current dog sleeps in the master bedroom on a dog bed.
Play & exercise:	The dog would be walked every day and played with by throwing toys, tug of war and interacting with our other dog. When Lucy is home from school she can take the dog on runs with her. The dog will frequently be taken to parks to run and play.
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?	It is a 5 foot tall chain link 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:	It is a two story house with a large yard that is completely fenced in the back. We have an in-ground swimming pool with steps that our current dog is able to climb in and out on. Our yard has 5 mature trees that provide shade and several squirrels for dogs to watch and chase. The street behind our house is a U-shaped court that provides a large easement of land, so we are not close to our neighbors.
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?	Ann
Willing to train children?	Our daughter is an adult and has been the primary caretaker of our current dog. She will be an active caregiver for the corgi as well.
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: