Untitled_1351 - Lakeshore Pembroke Welsh Corgi Rescue

Date & Referral Source
State:		Date of Application:	08/21/2017	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:	1 year – 3 years, 3 years – 5 years	Gender preferred:	Either a Male or a Female	Color preferred:	Any color	Activity level:	Couch Potato, Outgoing, Quiet, 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?	My husband, Michael, and I.
Why do you want a Pembroke?	We took a few online quizzes to determine what type of dog best suit what we were looking for in a pet, and we matched with Corgi's and Basenji's. We fell in love with the breed after seeing the film "The Queen". We love that it's a smaller sized dog, playful, friendly, and outgoing. We have not interacted with the breed previously. We understand that they are intelligent dogs, with an independent streak, and that they are a herding dog. We also understand that they can suffer from hip dysplasia, inherit eye problems, or can suffer from weight issues if they are not exercised sufficiently.
Activities planned with Pembroke:	We have a fenced in yard and would run with the dog outside in the enclosed space. We would also set up structured play exercises, like obstacle courses and trick training, along with daily walks,
Aware that Pembrokes are busy, noisy dogs?	Yes
Money for basic care?	Yes
Money for unforeseen medical expenses?	Yes
Willing to house train?	No Willing to do formal training? Yes
Do you have a veterinarian?	No
Vet contact info:
Will handle mistakes Pembroke makes like this:	Positive reinforcement training, as well as using voice to let the dog know the behavior is unwanted.
Discipline:	Time-outs in a crate. Not rewarding for bad behavior.
Where would Pembroke spend the majority of the time:	At our home and in our yard.
Discipline:	Time-outs in a crate. Not rewarding for bad behavior. Where would Pembroke spend the majority of the time: At our home and in our yard.
House dog or outside dog?	House dog
People at home during the day?	My husband works from home, so the dog would mostly be indoors.
Where would dog eat?	In the kitchen, we would make an area for their water and food bowls.
Where would dog sleep:	As mentioned, we may crate at first as we want them to instill that it is a comfortable for them. The dog may choose to sleep there after they've grown accustomed to us, or we may permit their pet bed to be next to our bedroom door.
Play & exercise:	The dog will be walked two times daily – once in the morning and once in the afternoon or early evening. Additionally, the dog would be played with indoors and out in the afternoons. Total average activity during the week would be at least one hour per day, with weekends offering more time for trick training and obstacle training.
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?	Board on board privacy fence.
Living arrangements:	Rent/lease home
Landlord info:
May we contact your landlord?	Yes, you may contact my landlord.
Lease allow dogs:	Yes, my lease permits dogs.
Landlord permission:	Yes, my landlord is fine with me owning a Pembroke
Restrictive covenants?	Not applicable
Breed/size restrictions?	No
Description of yard:	The house has three levels – an upstairs open loft-style area, an unfinished basement, and a main floor where we spend the majority of our time. The dog would not be permitted in the basement, and we would restrict movement to the main floor unless one of us were upstairs in the second floor. The basement does not have a door, but will put up a baby/dog gate. The upstairs has a door that we close when we are not up there. There is no swimming pool and only a couple stairs to get into the house from outside.
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?	Cassandra Caverhill
Willing to train children?	We do not have children, nor do we want to.
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?	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: