Untitled_2392 - Lakeshore Pembroke Welsh Corgi Rescue

Date & Referral Source
State:	{Applicant State:2}	Date of Application:	05/21/2019	Referred by:	Website
Contact Information
First name:	{First Name:98}	Last name:	{Last Name:97}	First name 2:	{First Name 2:94}	Last name 2:	{Last Name 2:93}
Address
Street:	{Street Address:3}
City:	{City:4}		State:	{State:5}	Zip:	{Zip:6}
Type of Dog Wanted
Ages interested in:	0 months – 1 year (we rarely get dogs in this age group), 1 year – 3 years, 3 years – 5 years, 5 years – 10 years	Gender preferred:	Either a Male or a Female	Color preferred:	Any color	Activity level:	Couch Potato, Outgoing, Playful, Energetic, Very Active
Other preferences:	Plays well with kids and dogs
Dog Ownership History
Previous dog owner?	Yes
	Dog 1
	Dog 1 name:	{Dog Name (Most recent/ current first):24}
	Dog description:	{Description of Dog:25}
	How long owned?	{Length of time owned:26}
	Where is this dog now?	{Where is this dog now? (Explain if you no longer have the dog):37}
	Dog 2
	Dog 2 name:	{Dog Name (Most recent/ current first):30}
	Dog description:	{Description of Dog:33}
	How long owned?	{Length of time owned:35}
	Where is the dog now?	{Where is this dog now? (Explain if you no longer have the dog):39}
	Dog 3
	Dog 3 name:	{Dog Name (Most recent/ current first):29}
	Dog description:	{Description of Dog:32}
	How long owned?	{Length of time owned:36}
	Where is dog now?	{Where is this dog now? (Explain if you no longer have the dog):27}
	Dog 4
	Dog 4 name:	{Dog Name (Most recent/ current first):28}
	Dog description:	{Description of Dog:31}
	How long owned?	{Length of time owned:34}
	Where is this dog now?	{Where is this dog now? (Explain if you no longer have the dog):38}
Questions Regarding Motivation for Adopting and Intentions
Who is this dog for?	Family pet
Why do you want a Pembroke?	My daughter is 12 and she has researched breeds and has shared the facts she found to support why they are amazing! Our 2 other dogs are AMAZING! My bichon is such a clown and my Chihuahua breaks the mold for her breed…..she is the most affectionate and sweet baby. Corgi butts are the best!!!! And they are a great breed to add to our pack. We live on a city block full of kids and dogs that ALL get along. I know a corgi will fit in just nicely. And we really miss having 3 dogs…..one of my kids always has to sleep alone.
Activities planned with Pembroke:	Dog parks, I am on LTD so I'm home all the time. Many times my dogs go with me when I'm running quick errands. They go with me to drop off and pick up all the kids from school. They are spoiled!!! That's what they are for!
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:	{If yes, please provide contact information including the vet’s name, clinic name, street address, city, state, zip, and phone. Also include the website if there is one.:52}
Will handle mistakes Pembroke makes like this:	Tell him firmly, "No!" And redirect him
Discipline:	Treats and or/affection (positive reinforcement/praise) Put in "time-out" in another room
Where would Pembroke spend the majority of the time:	With me and the other 2 dogs during school days
Discipline:	Treats and or/affection (positive reinforcement/praise) Put in "time-out" in another room Where would Pembroke spend the majority of the time: With me and the other 2 dogs during school days
House dog or outside dog?	House dog
People at home during the day?	Yes
Where would dog eat?	Kitchen floor
Where would dog sleep:	In somebody's bed!
Play & exercise:	Vinyl fenced back yard….we play outside a lot Village parties – most weekends in the summer families in neighborhood hang out together, dogs included Dog parks, walks, kids are always in their faces!
How will you exercise your dog?	Both on leash and restrained to the yard
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?	White vinyl fence
Living arrangements:	Own home
Landlord info:	{If you rent/lease your home, please list the name, telephone number and email address of your landlord. State “Not Applicable” if you own your own home.:67}
May we contact your landlord?
Lease allow dogs:
Landlord permission:
Restrictive covenants?	Not applicable
Breed/size restrictions?	No
Description of yard:	One large shade tree, lots of running room, landscaping along fencelines….we take pride in the care and attention we give our yard.
Household members:	{Describe all the people who live in your home, include names, ages and interests. For example, Mary Smith, 29, Enjoys cooking, dog training, gardening and running.:75}
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?	Staci
Willing to train children?	Yes
Any allergies?	No one is allergic.
Current pets:	{Please list and describe all of the pets that currently live in your home, including the name, type, age, sex and whether it is neutered. For example, Lenny, komodo dragon, 3 years old, not neutered.:80}
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….i had to teach poppy (14 pound Chihuahua – not fat….BIG) to be gentle with Nico (8 lb Bichon – tiny) They are best buds now and choose to be crated together
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:	{Personal References. Please list two people who know your family well, but who are not related to you (No moms, grandmas, sisters, etc) who will attest to the fact that you are a responsible, dedicated pet owner. Include the name of the person, their phone number(s), email and relationship you have with that person. For example, Mary Smith, 123-343-4444, 123-333-5767, marys@gmail.com, friend.:87}