Untitled_2205 - Lakeshore Pembroke Welsh Corgi Rescue

Date & Referral Source
State:		Date of Application:	01/25/2019	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:	0 months – 1 year (we rarely get dogs in this age group), 1 year – 3 years	Gender preferred:	Female	Color preferred:	Red & White, Red Headed Tri, Sable & White	Activity level:	Couch Potato, Outgoing, Quiet, Playful, Energetic
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?	The new family member will be joining a family of four (dad, mom, 9 year old boy and 6 year old boy). We have no other pets. My oldest son is ready for a dog of his own with the help and support of all of us.
Why do you want a Pembroke?	We are a family who loves spending time together, taking long walks and watching movies at home. We researched and read about the Corgi Breed and feel it would be a good match for our lifestyle and family. The breed is a great compliment to our family. We read that Corgis are generally loyal to the family unit, intelligent, and playful. Our previous dog was a very active and intelligent Jack Russell terrier and we had many wonderful years.
Activities planned with Pembroke:	We live in the downtown area of a small town and walk to parks, the ice cream shop, school, and festivals. We have a dog park in walking distance.
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:	We will start with dog obedience classes. We will also read a book on the breed. I anticipate following the advice and direction of the instructors.
Discipline:	Positive reinforcements for good behavior and rewarding good behavior. The same approach for children.
Where would Pembroke spend the majority of the time:	At home. Both adults alternate working from home so the dog would rarely be alone.
Discipline:	Positive reinforcements for good behavior and rewarding good behavior. The same approach for children. Where would Pembroke spend the majority of the time: At home. Both adults alternate working from home so the dog would rarely be alone.
House dog or outside dog?	House dog
People at home during the day?	Yes. There will almost always be someone home at all times.
Where would dog eat?	A designated spot.
Where would dog sleep:	In a dog pet likely in a room with my oldest son.
Play & exercise:	She will play daily with children with dog toys. She will also have daily walks and weekly visits to the dog park in the spring, summer and fall.
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?	No, the condo covenants do not prevent me from having a dog.
Breed/size restrictions?	No
Description of yard:	We live in a townhouse with no pool.
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?	Najla Mamou
Willing to train children?	Yes
Any allergies?	No one is allergic.
Current pets:
Current pets dog friendly?
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: