Untitled_1337 - Lakeshore Pembroke Welsh Corgi Rescue

Date & Referral Source
State:		Date of Application:	08/13/2017	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	Gender preferred:	Either a Male or a Female	Color preferred:	Any color	Activity level:	Outgoing, Quiet, Playful, Energetic
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, which consists of two adults and 3 boys, two of which that are 11 and one is 6 years of age.
Why do you want a Pembroke?	I have had multiple interactions with a family member's Corgi. She is a hysterical, happy little dog that my children absolutely love. When we discussed getting a dog for our children, the corgi is exactly what we gravitated to. The size of the corgi also works well for our family, as it fits in the medium sized group of dogs. Most Corgis that I have come into contact with in the past love attention, which the dog would not be lacking around our home! We want a dog that would want to be around its humans and be an active member of our family. We feel that a corgi would fit well into our lifestyle. We have done lots of research, and we feel that a corgi would be a great fit into our home.
Activities planned with Pembroke:	We are an active family, and want our dog to part of our life. Kyle is a high school baseball coach, and all 3 of our kids are in multiple sports. We would like to take our dog to games as much as possible. I would love to have a walking partner, as I take multiple walks around our small town. With three boys, the dog would have constant playmates!
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:	Telling the dog no when needed, and using positive and negative reinforcement when needed: Postitive- treats, toys, verbal affirmation Negative- taking treats and toys away, using the word no.
Discipline:	Positive and negative reinforcements (please see above for examples) We do not believe in hitting any animal, and that would NOT be a method of discipline for a pet in our home.
Where would Pembroke spend the majority of the time:	Most of the time, the dog would be able to be free to roam about the home with the family. The dog wouldn't be home alone for more than 5-6 hours per day due to school/work, but if needed the dog could be kenneled during the time we are away. Otherwise, the dog would be free to relax where it wishes in the home.
Discipline:	Positive and negative reinforcements (please see above for examples) We do not believe in hitting any animal, and that would NOT be a method of discipline for a pet in our home. Where would Pembroke spend the majority of the time: Most of the time, the dog would be able to be free to roam about the home with the family. The dog wouldn't be home alone for more than 5-6 hours per day due to school/work, but if needed the dog could be kenneled during the time we are away. Otherwise, the dog would be free to relax where it wishes in the home.
House dog or outside dog?	House dog
People at home during the day?	There would be only a period of 5-6 hours a day where the dog would have to be alone during the day due to work/school. That time frame is very flexible however, as the adults in the home have flex schedules and make our own work schedules.
Where would dog eat?	Most likely the dog would eat in our kitchen, as there are hardwood floors that are easily mopped and cleaned if messes are made, but if necessary we can make a place for the animal to eat if it had certain needs.
Where would dog sleep:	My children have already talked about the dog sleeping with them! If that doesn't work for the dog, we are happy to make a kennel area or an area that would be the dogs sleeping area (ie: dog bed, etc)
Play & exercise:	With 3 active children, the dog would have multiple people to play with, go on walks with, and run around with. I like to take long walks myself, and having a walking partner was one big reason we started our search for a family pet. Also, Kyle and our children are very involved in baseball. We hope to take the dog with us to as many baseball games 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:	Currently own home, and building a brand new large home.
Landlord info:
May we contact your landlord?
Lease allow dogs:
Landlord permission:
Restrictive covenants?	Not applicable
Breed/size restrictions?	No
Description of yard:	Currently we have a small back yard with no swimming pools. It is fenced on side, and the garage blocks the other side of the yard. It is open on one side. However, as mentioned before, we are in the process of building a large new home that will have a very large back yard, and we have discussed fencing in the back yard, or using an invisible fence to keep the dog safe.
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?	Bri
Willing to train children?	Absolutely. Our children are animal lovers, and normally have no issues with treating animals with love and respect
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?	Yes, we do not plan on having other pets, but if this problem would become an issue we will most definitely be sure to try anything to resolve any issues.
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: