Untitled_1490 - Lakeshore Pembroke Welsh Corgi Rescue

Date & Referral Source
State:		Date of Application:	11/05/2017	Referred by:	Friend
Contact Information
First name:		Last name:		First name 2:		Last name 2:
Address
Street:
City:			State:		Zip:
Type of Dog Wanted
Ages interested in:	1 year – 3 years, 3 years – 5 years	Gender preferred:	Either a Male or a Female	Color preferred:	Any color	Activity level:	Playful
Other preferences:	I,have raised puppies, but prefer a dog who is house trained. I also use crate training so that,workmen can enter our house without dog interference.
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?	Me and my 3 year old male Labradoodle, Charlie
Why do you want a Pembroke?	I have met Corgis and have been I,pressed with their confidence and composure.
Activities planned with Pembroke:	Daily walks on our,private road and days at a dog park. Trips in the car with Charlie and me.
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 show the dog what is OK behavior and reinforce with a treat or praise.
Discipline:	I would try to focus attention on a positive activity instead of the destructive behavior. Positive reinforcement is more successful than negatives like saying bad dog. Usually the behavior has ended and the dog does not understand why a scolding is being given.
Where would Pembroke spend the majority of the time:	Charlie has free run of the house in cold weather. Dogs have access to outside during the milder months of the year.
Discipline:	I would try to focus attention on a positive activity instead of the destructive behavior. Positive reinforcement is more successful than negatives like saying bad dog. Usually the behavior has ended and the dog does not understand why a scolding is being given. Where would Pembroke spend the majority of the time: Charlie has free run of the house in cold weather. Dogs have access to outside during the milder months of the year.
House dog or outside dog?	House dog
People at home during the day?	I am here most days except for a couple of classes during the week. Usually not gone more than 2 to 3 hours per day.
Where would dog eat?	The dogs eat in our casual dining area where I dine myself.
Where would dog sleep:	I have dog bed for my current pooch and the Corgi would have a bed too. I prefer they not sleep on my bed.
Play & exercise:	I walk Charlie twice per day a few street blocks. They have access to our fenced backyard for informal play. Also go to dog parks several times per week.
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 2" x 4" wire mesh fence which is 48" high.
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 an inground swimming pool in a fenced yard. Dogs are trained not to go in the pool. It is covered with safety mesh in winter and features stair out should a dog fall in accidentally. Am willing to purchase an alarm if the dog is not trained to stay out of the pool..
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?	June Paynter
Willing to train children?	No children in my household. Great niece, age 5, has grown up with dogs as have step niece and nephew.
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 would like Charlie's trainer to meet any candidate dog and access suitability. 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: