Untitled_1390 - Lakeshore Pembroke Welsh Corgi Rescue

Date & Referral Source
State:		Date of Application:	09/10/2017	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)	Gender preferred:	Female	Color preferred:	Any color	Activity level:	Playful
Other preferences:	We have a small lab/beagle mix who loves to play and loves other dogs. This is the only reason we would prefer a young divas they tend to acclimate to others dogs better at young age.
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 our family
Why do you want a Pembroke?	We have both done research on this breed. We love the size of the dog, which is our main reason for choosing the breed. We do not have experience with corgis but have both done research together and believe this is the right breed of dog for is to adopt:
Activities planned with Pembroke:	We like to take walks and play fetch with our small dog. We would like for her to have a friend to play with as well and this is why we are looking for a dog to adopt.
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:	When my current dog does something wrong I usually show her what it is and then put her in her crate.
Discipline:	Crate
Where would Pembroke spend the majority of the time:	In the house, our other dog stays in the house.
Discipline:	Crate Where would Pembroke spend the majority of the time: In the house, our other dog stays in the house.
House dog or outside dog?	House dog
People at home during the day?	Yes
Where would dog eat?	In the kitchen where we have a dog mat for water and food.
Where would dog sleep:	In our living room or on the large dog bed by the stairs.
Play & exercise:	We like to take our current dog on walks several times a week. We also play with her inside and like to take her to the fenced in park in town.
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 small yard in a large neighborhood. Houses are close by that have fences. We do not live on a busy street which is nice. We trained our current dog to stay within the yard when going outside and now do not have to use a leash.
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?	Heather Rics
Willing to train children?	Yes, but he has had other dogs at his mothers house and is very good with them.
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, although our current dog and cat get along very well. Our cat has never but not tried to bite our dog. She likes to sleep by her and has never clawed her (she does not have claws).
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: