Untitled_1409 - Lakeshore Pembroke Welsh Corgi Rescue

Date & Referral Source
State:		Date of Application:	09/20/2017	Referred by:	Other
Contact Information
First name:		Last name:		First name 2:		Last name 2:
Address
Street:
City:			State:		Zip:
Type of Dog Wanted
Ages interested in:	3 years – 5 years, 5 years – 10 years	Gender preferred:	Either a Male or a Female	Color preferred:	Any color	Activity level:	Couch Potato, Outgoing, Playful
Other preferences:	We also have two cats that we would need to ensure the dog was good with. They are accepting of dogs. We had a Lab mix that passed away in February. My son has always wanted a corgi.
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?	My son and myself. They would be a family pet.
Why do you want a Pembroke?	My son has always wanted one and now that we are looking for another dog, I have noticed that the corgi can actually be a rescue dog. I would love another dog and don't necessarily want a bigger dog but I don't want a small "purse size" dog. So I feel that a corgi would be a perfect fit for our little family.
Activities planned with Pembroke:	We would take the dog for walks, we would go for car rides and we have a large fenced in backyard that we enjoy spending time in and would love to have a dog join us. We have a nice space for them to run, fetch, play or just hang out. They are currently building a dog park in our town also. I would enjoy the dog's companionship and love to snuggle and pet my animals.
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 work with special needs children and pets to me deserve the same type of respect and love. I hope that makes sense and sounds okay! We have to model or show them the expected behavior and work to correct it with positive reinforcements.
Discipline:	Attempting to distract them from the negative behavior. Being firm if they are using the bathroom, we would attempt to get the dog outside. Otherwise, we would clean up the "spill" and make sure to let the dog our more frequently. I do not believe in striking a dog in any matter. If the dog is "destructive", we would work to keep things that might be enticing away from the dog.
Where would Pembroke spend the majority of the time:	In our home. We would both enjoy spending time with him or her. They would watch TV with us, snuggle in our beds and enjoy us as much as we would enjoy them.
Discipline:	Attempting to distract them from the negative behavior. Being firm if they are using the bathroom, we would attempt to get the dog outside. Otherwise, we would clean up the "spill" and make sure to let the dog our more frequently. I do not believe in striking a dog in any matter. If the dog is "destructive", we would work to keep things that might be enticing away from the dog. Where would Pembroke spend the majority of the time: In our home. We would both enjoy spending time with him or her. They would watch TV with us, snuggle in our beds and enjoy us as much as we would enjoy them.
House dog or outside dog?	House dog
People at home during the day?	My son is home intermittently throughout the week and on the weekends. I leave at 7:45 and return at 3:45 during the school year. I am off during the summer and during holiday breaks.
Where would dog eat?	They would have a place in the laundry room or in our den.
Where would dog sleep:	He could sleep with me, either in the bed or on the floor.
Play & exercise:	They will be able to utilize our fenced in yard and as I stated before, we have a dog park that is being built in our town.
How will you exercise your dog?	Both on leash and restrained to the yard
Fenced yard?	Yes, I have a fenced in yard.
Willing to pick up dog waste?	Yes, I will clean up after my dog.
Willing to use a crate?	It is a chain link fence about 4 foot tall and runs all around the back yard.
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 large yard, with maple trees, pine trees, an apple, dwarf cherry and redbud tree. It has a fence, small deck off the house with a slider and a small patio.
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?	Angela T Burd
Willing to train children?	My child is 19. But I will of course, teach any other children that come into contact with the dog how they are to treat 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?	Absolutely.
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: