Untitled_1483 - Lakeshore Pembroke Welsh Corgi Rescue

Date & Referral Source
State:		Date of Application:	11/02/2017	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	Gender preferred:	Either a Male or a Female	Color preferred:	Any color	Activity level:	Outgoing, 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?	My fiance and I.
Why do you want a Pembroke?	We have always wanted a corgi. My sister has one and her corgi is a big goof ball. My aunt also owns one. I believe the corgi breed to be very smart and playful. The corgi size is just perfect. Even though we have not owned one personally I have been around them a lot and I just love the personality of the breed. They are pretty well a big dog in a little body.
Activities planned with Pembroke:	Plenty of walks and park visits. The dog would go with us everywhere we went. My fiance stays at home so the dog would hang with her till I get home from work. My younger sisters are always over so though we don't have children we still have that child energy around for the dog to run and play with them 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?	No
Vet contact info:
Will handle mistakes Pembroke makes like this:	Use a stern voice stating no. Using hand motions as well such as pointing in area or holding object that was involved.
Discipline:	I always use a stern voice or spray bottle with water. Depending on what has happened, i will use hand motions showing what is bad while keeping my voice stern.
Where would Pembroke spend the majority of the time:	With us. They would spend all day with my fiance till I get home at 4. Weekends I am off so I would be home too. We rarely leave home to go anywhere far. So wether it's walks, the park, or a drive in town the dog will always be with us.
Discipline:	I always use a stern voice or spray bottle with water. Depending on what has happened, i will use hand motions showing what is bad while keeping my voice stern. Where would Pembroke spend the majority of the time: With us. They would spend all day with my fiance till I get home at 4. Weekends I am off so I would be home too. We rarely leave home to go anywhere far. So wether it's walks, the park, or a drive in town the dog will always be with us.
House dog or outside dog?	House dog
People at home during the day?	Yes. My fiance is always home.
Where would dog eat?	Kitchen.
Where would dog sleep:	With us in bed. Or if it preferred we will always have a bed for it to lay on.
Play & exercise:	My fiance walks everyday so it would be getting walked at least once a day. We have an enclosed yard so we will let them out to play with their favorite toys and get plenty of belly rubs. My sisters will come over and help with that. The park and playing fetch would be included.
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:	My yard has a 7 foot fence wrapped around it that doesn't completely lock together . There is a big tree in the middle of it. Other then that it is open.
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?	Chrystalyn Miller
Willing to train children?	N/a
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: