Untitled_1438 - Lakeshore Pembroke Welsh Corgi Rescue

Date & Referral Source
State:		Date of Application:	10/07/2017	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	Gender preferred:	Either a Male or a Female	Color preferred:	Any color	Activity level:	Couch Potato, Outgoing, Quiet, Playful, Energetic, Very Active
Other preferences:	Please excuse a Corgi with hip dysphasia
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?	Me and my husband
Why do you want a Pembroke?	I have done lots of research on this breed and have met several Corgis. I find them very attractive and a good mix with our active lifestyle. It has been a while that we have wanted one. We have one cat now after having just put one down. Our rag doll is a very easy going and loving cat. He and the other cat we had, Ernie, were very good buddies. We think Bert would love having another companion.
Activities planned with Pembroke:	Walk and play inside and outside.
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:	Figure out why and do research if necessary to eventually correct any ongoing issues
Discipline:	I would ask owners of this breed what works with their dogs. And consider the circumstances.
Where would Pembroke spend the majority of the time:	In the main part of the house.
Discipline:	I would ask owners of this breed what works with their dogs. And consider the circumstances. Where would Pembroke spend the majority of the time: In the main part of the house.
House dog or outside dog?	House dog
People at home during the day?	Yes
Where would dog eat?	We have a laundry room dedicated for eating. The cat has his food there so we will put the cat food in a higher place so the dog would not have access.
Where would dog sleep:	Depends on where it wants to sleep, but not on the bed with us.
Play & exercise:	We are outside a lot, we have a fenced back yard and I look forward to long walks with the dog. Also our cat likes to play.
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?	Wood, 6 feet high with a gate, whole yard which is quite large.
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 fire pit in the back portion otherwise just plants.
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?	Both of us
Willing to train children?	Our daughters are in college and would most definitely take care of the dog when they are home.
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
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: