Untitled_1368 - Lakeshore Pembroke Welsh Corgi Rescue

Date & Referral Source
State:		Date of Application:	08/30/2017	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:	Any age	Gender preferred:	Male, Either a Male or a Female	Color preferred:	Black Headed Tri, Any color	Activity level:	Playful, Other (Please describe in the box below.)
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?	Myself
Why do you want a Pembroke?	Fun and energetic dogs; love the herding instinct.
Activities planned with Pembroke:	I currently walk with my greyhound twice a day 2-4 miles. I take him to the dog park in our area several times a week. My husband and I have a cottage and we spend lots of time hiking and boating and take dogs with us.
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?	Yes
Vet contact info:
Will handle mistakes Pembroke makes like this:	Depends on mistake; Firm 'no'. Try and see what I can do to prevent the mistake from happening again (e.g. remove food from easy access areas) reward good behaviors
Discipline:	Positive reinforcement; good behaviors rewarded
Where would Pembroke spend the majority of the time:	Home – crate only upon absence and if necessary
Discipline:	Positive reinforcement; good behaviors rewarded Where would Pembroke spend the majority of the time: Home – crate only upon absence and if necessary
House dog or outside dog?	House dog
People at home during the day?	Work 8 hours 3 days a week. The rest of the week, work from home or weekend.
Where would dog eat?	In the kitchen
Where would dog sleep:	In our room (not in our bed), or in the living room if it chooses
Play & exercise:	Daily walks and dog park. I have a fenced yard also
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?	Wood privacy fence with lock.
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:	Open fenced yard.
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?	Kimberly Magdich
Willing to train children?	Yes – although we would prefer a dog that has no social anxieties with children. We have several grandchildren who all have pets of their own, and in general are very good with animals.
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: