Untitled_2211 - Lakeshore Pembroke Welsh Corgi Rescue

Date & Referral Source
State:		Date of Application:	01/30/2019	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, 10 years +	Gender preferred:	Either a Male or a Female	Color preferred:	Any color	Activity level:	Couch Potato, Outgoing, Quiet, Playful
Other preferences:	We have a 14 month old grand daughter that I babysit so any corgi we would adopt needs to be good with young children
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?	For me and my husband
Why do you want a Pembroke?	For companionship. I have never owned a corgi. They seem like an outgoing breed and seem to do well with children for the most part.
Activities planned with Pembroke:	Movie marathons on weekends and walks and if playful, playing with a ball or other toys
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:	A firm no and backing them away from whatever they got into they weren't suppose to. If has an accident in the house, take them outside to show them that is where they should go potty then clean up the mess. Yelling does nothing but scare the dog so I know to never yell or scold a dog
Discipline:	A firm no, backing them away or making them sit on their bed…which takes training
Where would Pembroke spend the majority of the time:	In the house with us
Discipline:	A firm no, backing them away or making them sit on their bed…which takes training Where would Pembroke spend the majority of the time: In the house with us
House dog or outside dog?	House dog
People at home during the day?	Yes, I'm on disability and am home 24/7 for the most part
Where would dog eat?	In the kitchen
Where would dog sleep:	Crate or dog bed or with us…whichever they like best but in a crate for the first month till they are accustomed to their new home and us
Play & exercise:	Playtime in the house with us and my grand daughter and outside when weather permits. We live in the country on 2 1/2 acres
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:	We live in the country on 2 1/2 acres. No swimming pool. Corn field behind our house. Nothing for a dog to get hurt on
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?	Angie Walczynski
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?	NA
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: