Untitled_2225 - Lakeshore Pembroke Welsh Corgi Rescue

Date & Referral Source
State:		Date of Application:	02/09/2019	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, Energetic, Very Active
Other preferences:	Our new dog must be good with kids due to the grandchildren visiting weekly. We would appreciate a friendly dog and one who enjoys people.
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?	John and I are an older married couple who are looking for a dog. We lost our Flat Coated Retriever last February after 16 years of being blessed with her presence. It has taken us a year to recover from the loss as she was our “baby”. We are looking for a smaller dog because in the last year of our Retriever’s life we were carrying her up and down our stairs. We live on the water and have two grandchildren who visit frequently.
Why do you want a Pembroke?	I have done research on the breed and think a Pembrooke Welsh Corgi is a good match for us. We have never owned a Welsh Corgi before but I understand that the dog is friendly, energetic, playful and loyal. We would also need a dog that we could pickup occasionally as we are getting older🙂. We also think the breed is incredibly cute!
Activities planned with Pembroke:	Walk!!! Also, play with the toys we buy for it, take on boat rides (we own a pontoon boat) and most importantly spoil!
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:	firmly say “No” immediately after the mistake was made and show correct behavior. Praise the dog with a treat when done correctly.
Discipline:	Make eye contact, bend down and say No.
Where would Pembroke spend the majority of the time:	In our home, with me being at home with our dog. Upstairs, downstairs, no limitations of where the dog would go.
Discipline:	Make eye contact, bend down and say No. Where would Pembroke spend the majority of the time: In our home, with me being at home with our dog. Upstairs, downstairs, no limitations of where the dog would go.
House dog or outside dog?	House dog
People at home during the day?	I work part time and will be home the most of the time. My husband works long hours being self-employed.
Where would dog eat?	In the kitchen.
Where would dog sleep:	Next to our bed on the floor preferably.
Play & exercise:	I take walks daily through our woods and neighborhood so our dog is a great companion for me. My husband likes to get down on the floor and play the dog.
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:	Previously written, we live on a wide, fast current, channel. In the summer, this channel is very busy with fisherman, boaters and children. In the winter, it is a bird haven; ducks, geese even eagles. We also live near woods which our retriever, accompanied by me, always, would love to go and run.
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?	Kathy
Willing to train children?	Yes, our two grandchildren have two dogs of their own.
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?	Our only concern would be our neighbors dogs who have been reported to the County Health Department because of their behavior.
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: