Untitled_1384 - Lakeshore Pembroke Welsh Corgi Rescue

Date & Referral Source
State:		Date of Application:	09/06/2017	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:	0 months – 1 year (we rarely get dogs in this age group), 1 year – 3 years	Gender preferred:	Female	Color preferred:	Red Headed Tri, Sable & White, Any color	Activity level:	Couch Potato, Outgoing, Quiet, 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?	Our family!
Why do you want a Pembroke?	We are looking for a good family dog and know this is a relatively healthy breed, intelligent, playful, lower maintenance for grooming, and overall adorable!
Activities planned with Pembroke:	We live on two acres and love being outside. We would like a family companion to do just about anything with us (camping, walking, fishing, etc). We have a family lake home in WI that we frequent throughout the year as well.
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?	No
Vet contact info:
Will handle mistakes Pembroke makes like this:	We plan to complete obedience classes/training. Positive corrective action/reinforcement.
Discipline:	Corrective methods learned from training classes.
Where would Pembroke spend the majority of the time:	In the house. I work from home and we are a family of 6, so someone is always home. We would also play outside every day. However, the Pembroke would never be left outside alone.
Discipline:	Corrective methods learned from training classes. Where would Pembroke spend the majority of the time: In the house. I work from home and we are a family of 6, so someone is always home. We would also play outside every day. However, the Pembroke would never be left outside alone.
House dog or outside dog?	House dog
People at home during the day?	Yes. I work from home and we are a family of 6, so someone is always home.
Where would dog eat?	Kitchen or laundry room.
Where would dog sleep:	Anywhere.
Play & exercise:	We are an active family of 6. There would be more than enough activity on a daily basis. We live on 2 acres and the walking path is located at the back of our yard.
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 live on 2 acres with a fenced in swimming pool. We are very safe parents and pet owners, so our children/pets are always watched and cared for.
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?	Courtney, Mike, Jordan
Willing to train children?	Of course!
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: