Untitled_2209 - Lakeshore Pembroke Welsh Corgi Rescue

Date & Referral Source
State:		Date of Application:	01/27/2019	Referred by:	Friend
Contact Information
First name:		Last name:		First name 2:		Last name 2:
Address
Street:
City:			State:		Zip:
Type of Dog Wanted
Ages interested in:	1 year – 3 years, 3 years – 5 years	Gender preferred:	Either a Male or a Female	Color preferred:	Red & White, Any color	Activity level:	Couch Potato, Quiet, Playful
Other preferences:	Would prefer spayed/neutered and would prefer female but would consider either gender. Needs to be non dog/cat agressive as there are is another dog and 2 cats in the household I'm commonly at.
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 as a companion
Why do you want a Pembroke?	I love the breed, the short little legs and big dog attitude is great and they are simply adorable. I like that they are known to be family dogs and intelligent.
Activities planned with Pembroke:	Walking, hanging out/cuddles, and car rides, I 2ould be able to take him or her to work with me sometimes too and since I work in a dog salon they would be pampered regularly as we get to groom our own dog for free once monthly.
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:	Stern commands like 'No' and working with them to teach them that that is not correct behavior. Rewarding them when they do well.
Discipline:	Firm and friendly, making sure the dog knows that I am in command.
Where would Pembroke spend the majority of the time:	With me, and in a well set up crate if I'm not home/at work.
Discipline:	Firm and friendly, making sure the dog knows that I am in command. Where would Pembroke spend the majority of the time: With me, and in a well set up crate if I'm not home/at work.
House dog or outside dog?	House dog
People at home during the day?	Yes.
Where would dog eat?	In their own crate
Where would dog sleep:	Either in bed with me or in the crate if I am not home overnight (which maybe happens 2 – 4 nights a year. (Not typically in a row. I can also take him or her to the pet hotel where I work if I will not be home. There is also typically someone else home if I am not.)
Play & exercise:	Daily. Our other dog loves to play with other dogs and they will get walks, plus occasional day camp at work if they are comfortable with it. (I work at petsmart grooming)
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?	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:	Fenced in back yard (fence need to be put back up in one spot but corgi would not free roam the back yard until that is done) and open front yard with deck and ramp and garage/ driveway next to house
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?	Myself (Katie Gates)
Willing to train children?	I have no children and dont plan to but if I did, yes absolutely.
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: