Untitled_1418 - Lakeshore Pembroke Welsh Corgi Rescue

Date & Referral Source
State:		Date of Application:	09/26/2017	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:	Male	Color preferred:	Any color	Activity level:	Couch Potato, Outgoing, Quiet, Playful
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?	As a family pet for us, we are all aware and in agreement.
Why do you want a Pembroke?	I love that Corgis are a smaller breed, but can have the energy of a big dog. My mother does not like large breed dogs so we did research and agreed that a Corgi is a great fit for us. I do not have experience with the breed but I have been doing research for the past two years and know the expectations and responsibilities of owning a Corgi
Activities planned with Pembroke:	We have another dog who is in her senior years who is in need of a friend to keep her playful and active. We have a fenced backyard that is available to our dog. However, since our dog is a senior, she does not enjoy going for long walks or anything too active as she gets tired fast. We would love to be able to take our Corgi for long walks, swimming, and to the dog park.
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:	We believe in positive-reinforcement, for example, if our dog chews something she shouldn't, we take it away, tell her "No", then give her her proper chew toy and praise her for it. We notice she remembers better when she's praised.
Discipline:	We do not like to use any discipline that scares or intimidates our dog, we use "time-out" where we avoid giving her attention when she misbehaves.
Where would Pembroke spend the majority of the time:	In our home and backyard.
Discipline:	We do not like to use any discipline that scares or intimidates our dog, we use "time-out" where we avoid giving her attention when she misbehaves. Where would Pembroke spend the majority of the time: In our home and backyard.
House dog or outside dog?	House dog
People at home during the day?	Yes, there is ALWAYS someone home, even when three of us are at work my grandmother and brother are at home.
Where would dog eat?	In the Kitchen
Where would dog sleep:	I'd love if he slept on my bed with me, but if he is more comfortable sleeping in his own bed or in a crate, then I would make that work, whatever he is most happy with.
Play & exercise:	Aside from playtime in our backyard, we live close to parks with trails, we would be able to take him to the trails daily.
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?	Tall wooden fence
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:	The average fenced, grass yard
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?	Brenda
Willing to train children?	Yes, my brother understands how to care for pets.
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, it is highly important for us that all our pets are comfortable living in our household
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: