Untitled_1440 - Lakeshore Pembroke Welsh Corgi Rescue

Date & Referral Source
State:		Date of Application:	10/08/2017	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)	Gender preferred:	Either a Male or a Female	Color preferred:	Any color	Activity level:	Outgoing, Playful, Energetic
Other preferences:	Would consider an older corgi (age 1-3 years) if already house & obedient trained
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 & my husband, Norman
Why do you want a Pembroke?	I have done some research on the breed, I love the personalities of the corgis, love their look, characteristics and feel this breed of dog would fit into mine & my husbands life style at this time in our lives (I'm 53, he's 70) we've had many dogs in our family and our last dog, a mini dauschand, passed away about 5 years ago and we really miss her, she was 17 years old and we got her the day she turned 6 weeks old!
Activities planned with Pembroke:	Walking, playing on my 5 acres, fetch, I have 2 grandkids, ages 5 & 9 and a new one on the way so they will help me keep the corgi very active! 😄
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:	Proper obedience training
Discipline:	Verbal commands and dog/owner training
Where would Pembroke spend the majority of the time:	In the house, with me & my husband
Discipline:	Verbal commands and dog/owner training Where would Pembroke spend the majority of the time: In the house, with me & my husband
House dog or outside dog?	House dog
People at home during the day?	Yes
Where would dog eat?	In the pantry area of my home
Where would dog sleep:	Probably in a crate
Play & exercise:	They would be exercised EVERY day! I have 5 acres of land so many opportunities for exercise here! Or there are many hiking trails and parks we can take them to
How will you exercise your dog?	Both on leash and restrained to the yard
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:	Plan on getting an above ground pool next spring, do not currently have a fenced area on my 5 acres at this time, but WILL put a fence up for a dog
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?	Sherry Broussard
Willing to train children?	Absolutely!
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, the dogs listed above only visit occasionally, when our daughter brings them over, they don't live with us, but they are friendly dogs who get along with other dogs
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: