Untitled_1397 - Lakeshore Pembroke Welsh Corgi Rescue

Date & Referral Source
State:		Date of Application:	09/14/2017	Referred by:	Veterinarian
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:	Either a Male or a Female	Color preferred:	Any color	Activity level:	Outgoing, Playful
Other preferences:	This is our first dog. Do you have a return policy? We hope and pray that would never be necessary, but our vet told us to ask about it just in case.
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?	It is for our family, but especially the children.
Why do you want a Pembroke?	Our children have fallen in love with the dogs watching a lot of videos on YouTube. We like that they are not too big, are great family pets and are playful and fun dogs. The kids think they are ridiculously cute, and we tend to agree.
Activities planned with Pembroke:	We would like to play with the dog and take it for walks and give it a lot of love.
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:	Gently. We would work with the dog kindly, but firmly to teach it how to behave.
Discipline:	I would tell the dog no if it did something wrong. I would try to repeat the correct way to do it to help it learn.
Where would Pembroke spend the majority of the time:	We have a 3000 square foot home and a .4 acre yard in the suburbs. That were the dog would be most of the time or walking around with us.
Discipline:	I would tell the dog no if it did something wrong. I would try to repeat the correct way to do it to help it learn. Where would Pembroke spend the majority of the time: We have a 3000 square foot home and a .4 acre yard in the suburbs. That were the dog would be most of the time or walking around with us.
House dog or outside dog?	House dog
People at home during the day?	Yes, I am a stay at home mother. Of course, I do run errands, but I spend much of my day at home.
Where would dog eat?	They dog would eat in or near our kitchen most likely.
Where would dog sleep:	We have a big round cushion the dog could use. Our daughter wants it to sleep in bed with her, but we are still deciding about that.
Play & exercise:	We have a big yard and intend to get an electric fence so the dog can move around a lot and play with the kids. We will take turns taking the dog for a walk.
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 in the suburbs with an open back yard-no fences. Like I mentioned earlier, we will get an electric fence. There is a large Rainbow play structure and a trampoline. Otherwise, there is just a huge amount of open space. Most of the flower beds and trees are next of the house or on the perimeter of the property. I think it would be small dog paradise to tell the truth. The yard is 4/10ths of an acre approximately. The back yard is much bigger than the front yard. It is shaped like a slice of pizza more or less with the tip in front.
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?	Suzanne Olajos
Willing to train children?	Yes, I consider it a critical duty as a parent. How we treat animals is a reflection on our character.
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?	It won't be a problem. The fish stays in his tank. 🙂
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: