Untitled_3403 - Lakeshore Pembroke Welsh Corgi Rescue

Date & Referral Source
State:	{Applicant State:2}	Date of Application:	11/05/2020	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:	Any age	Gender preferred:	Female	Color preferred:	Any color	Activity level:	Couch Potato, Outgoing, Quiet, Playful, Energetic
Other preferences:	Loves walks
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?	Rob and Diana
Why do you want a Pembroke?	Ive always admired Corgi’s from afar. I am a responsible pet owner and Im ready to include a Pembroke Welsh Corgi.
Activities planned with Pembroke:	I love to go on long walks. I like to take Maddy to the park. We also love to cuddle!
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:	If it was a potty accident i would reinforce potty training and let the dog out often. Also take dog on long walk.
Discipline:	I dont. If its a training issue perhaps some obedience training is needed.
Where would Pembroke spend the majority of the time:	Inside my home.
Discipline:	I dont. If its a training issue perhaps some obedience training is needed. Where would Pembroke spend the majority of the time: Inside my home.
House dog or outside dog?	House dog
People at home during the day?	Yes
Where would dog eat?	In the kitchen. Elevated food station.
Where would dog sleep:	Anywhere it wants to sleep. Theres the sofa and a couple of chairs.
Play & exercise:	I will offer toys and play fetch. I will walk the dog.
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?	Its a six foot fence. Chain link in the front and sides, privacy in the back by the alley.
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:	Its a small 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?	Diana E Martinez
Willing to train children?	There are no children.
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.
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}