Untitled_2206 - 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:	3 years – 5 years, 5 years – 10 years, Any age	Gender preferred:	Female, Either a Male or a Female	Color preferred:	Any color	Activity level:	Outgoing, Quiet, Playful
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?	This Corgi is for My wife , Myself but more importantly our corgi Cyrus who lost his brother to cancer in August.
Why do you want a Pembroke?	We have been parents of Corgis for the past 20 years and love the breed for their energy, affection, loyalty and of course their cuteness. Also they are a big dog in a small package!
Activities planned with Pembroke:	We like to walk them for their health as well as ours. If they like to play we have plenty of tennis balls and sticks to throw for them.
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:	Positive reinforcement. Firm commands followed by lots of love.
Discipline:	Verbal only. Never physical.
Where would Pembroke spend the majority of the time:	If we are outside they are with us. If we are inside they are with us. In the house they have no restrictions.
Discipline:	Verbal only. Never physical. Where would Pembroke spend the majority of the time: If we are outside they are with us. If we are inside they are with us. In the house they have no restrictions.
House dog or outside dog?	House dog
People at home during the day?	Yes. My wife is retired and I will also retire in August
Where would dog eat?	Our dogs have always been fed twice a day in the kitchen in separate bowls. The food of choice is Nutro Max adult Lamb and Rice.
Where would dog sleep:	Preferably in their beds in the den but if they end up on the sofa or on the bed or by the bed that's ok
Play & exercise:	They will have the room to chase each other, or chase a ball several times a day.
How will you exercise your dog?	On leash
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?	We have a 4 foot chain link on the north and south side. The west side is our house. The east side has a 6 foot privacy 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:	We live in a quiet cul de sac neighborhood. Very mature trees and surroundings. We do see deer in the mornings when we awake but the dogs have not.
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?	Both of us.
Willing to train children?	We have no children or grand children but children must respect our family dogs.
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 still have the crates if they would be needed.
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: