Untitled_1404 - Lakeshore Pembroke Welsh Corgi Rescue

Date & Referral Source
State:		Date of Application:	09/17/2017	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:	Couch Potato, Outgoing, Quiet, Playful
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?	Myself
Why do you want a Pembroke?	I love the breed. I have spent a lot of time with corgis at dog events and through friends who own them. I have a Manx Cat and I think they would make perfect siblings.
Activities planned with Pembroke:	Everything! In the warmer seasons I spend a lot of time out doors, fishing, camping, boating, swimming, attending pet friendly festivals/activities. In the winter we can bundle up and go for walks in the neighborhood followed by naps in front of the fireplace.
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:	Animals make mistakes and with each pet it's different how you would handel the situation. It would also depend on the type of mistake. Sometimes fixing the mistake is based on the owner being proactive, for example if the dog keeps peeing in the house maybe you need to take the dog out more and provide rewards when the behavior exhibited is the correct one.
Discipline:	I don't know. I guess that is something I will have to learn, the appropriate type of discipline.
Where would Pembroke spend the majority of the time:	In my house
Discipline:	I don't know. I guess that is something I will have to learn, the appropriate type of discipline. Where would Pembroke spend the majority of the time: In my house
House dog or outside dog?	House dog
People at home during the day?	Sometimes
Where would dog eat?	In the kitchen
Where would dog sleep:	Probably in my bed
Play & exercise:	He can play w my cat all day while I'm at work and when I'm home we will spend our time together. I have two parks in my neighborhood both less than a block from me. There are a bunch of parks just down the street.
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:	I have a nice back yard that faces a forest line. My back yard has a cement patio w a pergola and patio furniture, beyond that is all grass to one side there is a cement fire pit that stands about two feet high.
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?	Nysha
Willing to train children?	I don't want children, I prefer to raise dogs and cats. If I happen to have a child in the future it is very important to me at children are raised learning how to respect all living things.
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, for sure. She's been exposed to other dogs in the past. She is timid the first few days, and even a bit protective of her home but we've always been able to get along. I often baby sit friends dogs typically for a week or two at a time, and I've never had serious issues.
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: