Untitled_1378 - Lakeshore Pembroke Welsh Corgi Rescue

Date & Referral Source
State:		Date of Application:	09/01/2017	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:	Either a Male or a Female	Color preferred:	Any color	Activity level:	Couch Potato, Outgoing, Quiet, Playful, Energetic, Very Active
Other preferences:
Dog Ownership History
Previous dog owner?	No
	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?	We home to find a Pembroke Welsh Corgi to have as a family pet for ourselves.
Why do you want a Pembroke?	What do we love about corgis, besides the fact that they are adorable? We love their energy, we love the playfulness, and their general loving nature.
Activities planned with Pembroke:	We would love to take our dog on nature hikes at the local metro parks. Travis looks forward to having a dog that will play fetch, frisbee, or any other toys, and Lisa wants a companion to keep her company while she maintains her garden and landscaping on their two acre property.
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:	Positive reinforcement, encourageing good behavior with treats, praise, or other favorable activity to increase the likelihood your pet will choose good behavior in the future.
Discipline:	Create training
Where would Pembroke spend the majority of the time:	At home with Travis (he works from home). When travis is in the office our Pembroke will go to work with Lisa at Heritage Animal Hospital.
Discipline:	Create training Where would Pembroke spend the majority of the time: At home with Travis (he works from home). When travis is in the office our Pembroke will go to work with Lisa at Heritage Animal Hospital.
House dog or outside dog?	House dog
People at home during the day?	Yes, Travis.
Where would dog eat?	Food and water dishes will be in the kitchen.
Where would dog sleep:	Hopefully in our bed, or at least in our room on a dog bed.
Play & exercise:	Daily activity is important to us, we plan to play daily and go on walks as often as we can.
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:	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:	We have 2 unfenced acres of rural bliss. Our triangular property is lined with trees and brush with one large old maple tree in the middle of the back yard. We do have a chicken coop and run at the back of the property (completely fenced off) that houses our 10 hens.
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?	Lisa
Willing to train children?	Yes, we do not have children yet, but home to have them someday. When we do we firmly believe in the importance of teaching children to respect all creatures.
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, slow introductions will be established.
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: