Untitled_1310 - Lakeshore Pembroke Welsh Corgi Rescue

Date & Referral Source
State:		Date of Application:	07/26/2017	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	Gender preferred:	Either a Male or a Female	Color preferred:	Black Headed Tri	Activity level:	Outgoing, Playful, Energetic
Other preferences:
Dog Ownership History
Previous dog owner?	No
	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?	Ian and Rachel
Why do you want a Pembroke?	Ian had a friend who owned a Corgi growing up and loved the breed. He loved how playful and loving the dog was. Ian has more experience than I do with this specific breed, but I do intend on reading about it and doing my fair share of research.
Activities planned with Pembroke:	Walks, dog park, getting pup cups/puppy safe ice cream, interacting with my sister and parents dogs. They each own a brother and sister from the same litter of 1/2 Lab/ 1/2 Australian Shepherds. They are both bigger dogs, but are very friendly and love new friends!
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:	Crate Training
Discipline:	Crate Training
Where would Pembroke spend the majority of the time:	At home.
Discipline:	Crate Training Where would Pembroke spend the majority of the time: At home.
House dog or outside dog?	House dog
People at home during the day?	It depends on Ian's schedule, he is an officer so sometimes he works midnights and sometimes he works days. I am usually gone 9AM-4PM during the day, however I am able to take the dog to work every so often.
Where would dog eat?	In the kitchen
Where would dog sleep:	In the bed
Play & exercise:	Get a membership to a dog park, take the dog for a walk as often as possible.
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:	Smaller yard with no fence.
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?	Rachel Heldt
Willing to train children?	Absolutely.
Any allergies?	One or more family members might be allergic to dogs.
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?	Absolutely.
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: