Untitled_1382 - Lakeshore Pembroke Welsh Corgi Rescue

Date & Referral Source
State:		Date of Application:	09/05/2017	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:	Outgoing, 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?	Myself
Why do you want a Pembroke?	I work at a vet clinic and we see corgis often. They seem to be great family dogs which is what I'm looking for. I have done research on the breed and I am very familiar with them
Activities planned with Pembroke:	Walks, playing outside with my other dog and my daughter, going to the dog parks
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:	I would continue to work with he/she until we get it right
Discipline:	Telling them "no", time out (outside for a few minutes if they have an accident to teach them to go outside), taking toys away when they chew things up. I don't agree with "spanking" a dog as it could easily cause aggression or make the dog scared of its owners.
Where would Pembroke spend the majority of the time:	Inside with myself, my dog ruby and my daughter
Discipline:	Telling them "no", time out (outside for a few minutes if they have an accident to teach them to go outside), taking toys away when they chew things up. I don't agree with "spanking" a dog as it could easily cause aggression or make the dog scared of its owners. Where would Pembroke spend the majority of the time: Inside with myself, my dog ruby and my daughter
House dog or outside dog?	House dog
People at home during the day?	Yes, my babysitter is here in the morning and I am home all afternoon.
Where would dog eat?	Inside
Where would dog sleep:	In my room either on his/her own bed or on my bed with my other dog
Play & exercise:	We go to dog parks often, also to my grandparents farm and my dog runs/plays with their dogs. We also take several walks
How will you exercise your dog?	On leash
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 a decent size yard, but go out to my grandparents farm daily so my dog can run and play to burn off some energy
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?	Tosha VanPatten
Willing to train children?	Yes I am
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 I am
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: