Untitled_1380 - Lakeshore Pembroke Welsh Corgi Rescue

Date & Referral Source
State:		Date of Application:	09/04/2017	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:	Either a Male or a Female	Color preferred:	Any color	Activity level:	Other (Please describe in the box below.)
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?	For us
Why do you want a Pembroke?	We both love the breed and as a vet, I have meet many corgis with the best personalities. They are so sweet and love how intelligent they are as well. I also love their fluffy hind ends and how it looks like they're always wearing pants and shaking their tush! We have both researched the breed quite a bit and excited to work with them with training and teaching tricks.
Activities planned with Pembroke:	We have a large yard with lots of parks close by as well. We both love to hike as well and would love to be able to take the dog with us if he/she would tolerate it physically but if we adopted a senior pet, we would scale the exercise as tolerated.
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:	Training, positive reinforcement and negative punishment
Discipline:	Positive reinforcement as above and negative punishment as above.
Where would Pembroke spend the majority of the time:	With our family in the home, pending on how he or she adjusts to training, possibly crated or confined to the den when unsupervised
Discipline:	Positive reinforcement as above and negative punishment as above. Where would Pembroke spend the majority of the time: With our family in the home, pending on how he or she adjusts to training, possibly crated or confined to the den when unsupervised
House dog or outside dog?	House dog
People at home during the day?	Pending on the day, one of us tend to be home. As a vet, I have random days off during the week and if we're both gone during the day, I can bring him/her to work with me and have at the boarding facility where the staff will take him/her out throughout the day and have play times along with bathroom breaks
Where would dog eat?	Kitchen or den.
Where would dog sleep:	In our bedroom
Play & exercise:	On a daily basis – we have a large yard and parks close by. Both of us are active runners/walkers as well
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:	no
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?	Mary and Jon
Willing to train children?	We do not currently have children but we both love animals and will pass that along to our kids along with how to treat animals with love and respect.
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: