Untitled_1323 - Lakeshore Pembroke Welsh Corgi Rescue

Date & Referral Source
State:		Date of Application:	08/07/2017	Referred by:	Other
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:	Male	Color preferred:	Any color	Activity level:	Couch Potato, Outgoing, Playful, Other (Please describe in the box below.)
Other preferences:	I have a young dog and 2 cats
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?	Myself
Why do you want a Pembroke?	I have researched them. I have a German shepherd and would love a brother for him. I want a smaller dog and have seen that corgis can hold their own with larger breeds as playmates. Plus I have always wanted a corgi. They're adorable and seem like they would match my personality of being active.
Activities planned with Pembroke:	Camping, hiking, swimming, traveling
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:	Tell him no in a stern voice and remove him from the issue and show him the proper thing to do whether it be chewing on something or a accident, etc.
Discipline:	With my shepherd I do use his kennel as a time out spot but he knows the difference between being in trouble and going in there for bed. He goes to sleep in his kennel all the time with door open without being told. I would do the same with the corgi.
Where would Pembroke spend the majority of the time:	My home.
Discipline:	With my shepherd I do use his kennel as a time out spot but he knows the difference between being in trouble and going in there for bed. He goes to sleep in his kennel all the time with door open without being told. I would do the same with the corgi. Where would Pembroke spend the majority of the time: My home.
House dog or outside dog?	House dog
People at home during the day?	I have a friend who walks my shepherd twice a week. I do work 8-5 most week days. I get off early on 2 days and my friend walks the shepherd 2 other days. I am off weekends and schedule fun things to do that are dog frienly most weekends.
Where would dog eat?	My home in the kitchen.
Where would dog sleep:	My shepherd chooses to sleep in his kennel, he feels most comfortable there even though I try to get him to sleep in my bed. Corgi could sleep with me if he wants.
Play & exercise:	I have a fenced in backyard. I would take him to puppy classes that I have had my shepherd go through. I also would take him to parks and dog parks if he is comfortable with other dogs. Walks, hikes, swimming at the lake, tons of play time with big brother bruce (german shepherd).
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?	Chain link fence all around yard.
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:	There is a deck and shed then open area for playing and running that is safe and fenced in.
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?	Jess Salo
Willing to train children?	No kids but in the future of course. I am a vegetarian and animal rights activists.
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
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: