Untitled_1452 - Lakeshore Pembroke Welsh Corgi Rescue

Date & Referral Source
State:		Date of Application:	10/13/2017	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:	3 years – 5 years, 5 years – 10 years, 10 years +	Gender preferred:	Either a Male or a Female	Color preferred:	Any color	Activity level:	Couch Potato, Outgoing, Quiet, Playful, Energetic
Other preferences:
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?	Rebecca & Matthew
Why do you want a Pembroke?	My parents had a corgi when I was in elementary school. This dog (named Jake) was my best friend growing up; we would go for walks, play outside together, and I would teach him new tricks. He would even let me vacuum is fur with the brush attachment. My parents and myself have had other dogs but Jake has always stood out. He was a gentle, fun, and loving dog, especially when my little brother was born. He loved to sleep in the nursery and keep watch. I loved when we went on camping trips as a family because Jake would always come with us. Some of my favorite memories are exploring the Canadian wilderness with him and my older siblings. Matthew and myself just started renting a house from his sister and have been talking about adopting an adult dog. I had such a great experience with Jake plus Corgis are adorable so we are more than willing to open our home to one.
Activities planned with Pembroke:	We would like a corgi that will be willing to hang out around the house but also go to parks and for hikes/walks. On the weekends we like to travel and would love to take him or her with us
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:	We would figure out why the mistake was made and then correct it in a positive manner
Discipline:	Positive discipline, distraction, stern voice,
Where would Pembroke spend the majority of the time:	Inside but occasionally outside with supervision
Discipline:	Positive discipline, distraction, stern voice, Where would Pembroke spend the majority of the time: Inside but occasionally outside with supervision
House dog or outside dog?	House dog
People at home during the day?	Yes, I am home during the morning/afternoon and Matthew is home at night
Where would dog eat?	In the dining room
Where would dog sleep:	On his or her own bed in our room or in the living room
Play & exercise:	He or she would get at least one walk as well as stimulation inside and the option to run around the back yard everyday
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?	Chain link fence and along the garage is a picket fence with locked gate about 4 feet tall
Living arrangements:	Rent/lease home
Landlord info:
May we contact your landlord?	Yes, you may contact my landlord.
Lease allow dogs:	Yes, my lease permits dogs.
Landlord permission:	Yes, my landlord is fine with me owning a Pembroke
Restrictive covenants?	Not applicable
Breed/size restrictions?	No
Description of yard:	Medium sized yard with a cedar tree and stone patio with some chairs and a hammock in the back or the yard. 2 giant lilac trees in the front of the yard. The black door has a concrete slab and is covered. The rest of the yard is all grass
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?	Rebecca and Matthew
Willing to train children?	We do not have any children nor are planning to have any, but yes we are more than willing to teach any child that happens to visit
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 and tig likes to keep to himself
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: