Untitled_1329 - Lakeshore Pembroke Welsh Corgi Rescue

Date & Referral Source
State:		Date of Application:	08/09/2017	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:	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, Quiet, Playful, Other (Please describe in the box below.)
Other preferences:	See above. We are looking for therapy dog temperament.
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?	My husband and me. No kids. No other pets.
Why do you want a Pembroke?	I generally like the temperament of herding dogs. I like the size of a corgi, and I love how they look. I like how smart they are and that they are eager to learn. I don't mind shedding. In fact, I think there should be dog hair in everything you own, including your food!
Activities planned with Pembroke:	Lots of walking. Playing ball in the yard. I'd like to try agility. No dog parks… I think those are generally asking for trouble. Lots of belly rubs.
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:	I have an un-uh sound that worked very well with our last dog. Redirect bad behavior (like chewing on the wrong thing.)
Discipline:	Mostly verbal commands. Firm "no." Not rewarding undesirable behavior with petting or nice tone of voice. Turning back for bad behavior like jumping up.
Where would Pembroke spend the majority of the time:	In the house. Probably on my lap.
Discipline:	Mostly verbal commands. Firm "no." Not rewarding undesirable behavior with petting or nice tone of voice. Turning back for bad behavior like jumping up. Where would Pembroke spend the majority of the time: In the house. Probably on my lap.
House dog or outside dog?	House dog
People at home during the day?	Most days for at least part of the day.
Where would dog eat?	In the laundry room.
Where would dog sleep:	In a dog bed in our room.
Play & exercise:	Daily walks and outside play.
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?	6-foot wood privacy fence. 4 feet between us and the neighbor.
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:	Small Minneapolis city yard. Fenced. Half grass, half patio. Raised garden beds.
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?	Dominique Palumbo
Willing to train children?	We don't have kids. But, yes we will teach kids how to interact. Our last dog hated children, so we are used to managing that. But, she's the reason why we want a gentle temperament.
Any allergies?	No one is allergic.
Current pets:
Current pets dog friendly?
Are you willing to work on it if your new dog doesn’t get along with your current pets right away?	n/a
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: