Untitled_1432 - Lakeshore Pembroke Welsh Corgi Rescue

Date & Referral Source
State:		Date of Application:	10/04/2017	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), 1 year – 3 years, 3 years – 5 years, 5 years – 10 years, 10 years +, Any age	Gender preferred:	Female	Color preferred:	Red & White, Red Headed Tri, Black Headed Tri, Sable & White, Any color	Activity level:	Couch Potato, Outgoing, Playful, Energetic, Very Active
Other preferences:	Would like a corgi that gets along with other dogs.
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?	Myself
Why do you want a Pembroke?	I have always had a love for corgis and their personalities. I have friends who have corgis that I have been around and I have also researched the breed to have a better understanding of them and I think one would be a perfect fit in my home. I am a very active person that has a very flexible work schedule allowing me to be home often to be with my dog. If a new corgi would require medical expenses or professional training, I am more than willing to do so as I have already for my dog Charley who would love a new friend in the home.
Activities planned with Pembroke:	I have a fenced in backyard that is perfect for playing fetch and just to run around. I already take my dog Charley on daily walks so I would be taking any new corgi on them as well. I have plenty of dog toys that I would use to play with them in the house too. If I have to be at work, I either have a family member watch my dog or take him to doggy daycare so he always has something to do and is never alone. I also take my dog swimming at a nearby lake with walks around it and on the beach so the corgi would join in on these activities as well.
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 would tell them "no" and work with training and redirecting them to more positive behaviors. If they would require professional training, I would get them that as well.
Discipline:	I would teach them "no" so that they knew what they did wrong and use positive reinforcement when they listen.
Where would Pembroke spend the majority of the time:	They would be at my house either inside or being let outside to play with supervision or to go on a walk.
Discipline:	I would teach them "no" so that they knew what they did wrong and use positive reinforcement when they listen. Where would Pembroke spend the majority of the time: They would be at my house either inside or being let outside to play with supervision or to go on a walk.
House dog or outside dog?	House dog
People at home during the day?	Yes, I am usually home during the day and work at night, but whenever I have to work a family member watches my dog so they aren't alone and can play and go outside still.
Where would dog eat?	The corgi would eat in the kitchen where the dog bowls would be set up.
Where would dog sleep:	The corgi would sleep in the house on a dog bed or they may sleep on the couch too.
Play & exercise:	I have a fenced in yard that I take my current dog out to play fetch and run around under my supervision multiple times a day on top of getting a daily walk around the neighborhood so the corgi would get to do this as well. I have many toys in the house too that I use to play with my dog throughout the day.
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?	I have a metal chain linked 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:	I have a fenced in yard with some outdoor furniture.
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?	Macy McCallum
Willing to train children?	I do not have any children but any children that would come in contact with my dog I would teach them to respect my dog.
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?	I am more than willing to resolve any problems they may occur with my new corgi not getting along with my current dog. I would spend lots of time working with them and training them so that they knew how to behave around each other.
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: