Untitled_1309 - Lakeshore Pembroke Welsh Corgi Rescue

Date & Referral Source
State:		Date of Application:	07/25/2017	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:	0 months – 1 year (we rarely get dogs in this age group), 1 year – 3 years, 3 years – 5 years	Gender preferred:	Either a Male or a Female	Color preferred:	Any color	Activity level:	Outgoing, Playful
Other preferences:
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?	Our family.
Why do you want a Pembroke?	We have owned a Corgi in the past. It was a show dog, but the Corgi expressed no interest in being a show dog so the owner sold the dog. Our family purchased him, named him Chaz and he remained our family dog until he passed. He was a sweet, loyal and loving dog that was great with other dogs, and loved his naps. We have children now, and would love to add another Corgi to our family. Since we owned one in the past, we did thorough research then, and now we have spent a few months discussing what breeds would be best with out children and dog. We keep going back to the size, weight, loyalness and temperament of the corgi. We are an active family but do have regular downtime with naps. We are outside quite often and know Corgis are adventurous and like to stay busy!
Activities planned with Pembroke:	We would go on long walks together. We have a huge fenced in backyard with a dog door the Corgi would have full access to at any time to explore and sniff out new adventures. We play fetch, tug-a-war, and snuggle.
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". We use crate training in our home and find it very effective.
Discipline:	Crate training. Obedience training.
Where would Pembroke spend the majority of the time:	Inside or outside, depending on his/her preference. We have a dog door that is always open .
Discipline:	Crate training. Obedience training. Where would Pembroke spend the majority of the time: Inside or outside, depending on his/her preference. We have a dog door that is always open .
House dog or outside dog?	House dog
People at home during the day?	Yes. Myself. My 4 year old daughter (part of the day, she is in school in the morning) My son in the afternoons. Our dog Ralph.
Where would dog eat?	In the kitchen.
Where would dog sleep:	Most likely on the sofa or on his bed. Wherever he/she feels most comfortable (unless we need to crate at night for a few weeks until he/she acclimates)
Play & exercise:	As much as they want. We have a dog door. We are outside constantly as a family.
How will you exercise your dog?	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?	Standard 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:	Huge yard, wooden swing set.
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?	Samantha Sheehan (I am home all day)
Willing to train children?	Yes. We have a dog currently so this has already been instilled in the children. We will revisit them when we bring in a new dog.
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, we will work our hardest to resolve any issues or bumps along the way.
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: