Untitled_1513 - Lakeshore Pembroke Welsh Corgi Rescue

Date & Referral Source
State:		Date of Application:	11/26/2017	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:	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:	Couch Potato, Outgoing, Quiet, Playful, Energetic, Very Active
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?	This corgi is for Cody's parents, Patti and Keith. Patti and Keith lost their dog, Winnie, in October. I've spoke with Patti & Keith personally, and she said that they are ready to care for a new dog, and would love a corgi! There is always someone home at their house, and they have the time and dedication to give to a corgi. We were recommended to Lakeshore Rescue by our neighbors, Mike and Chris Slauson, who adopted their beloved, Karley from you. Cody and I are also huge Corgi fans and one day hope to adopt one of our own. But for now, we are focusing on fulfilling Patti & Keith's Christmas wish. Thanks so much! Please note: I've completed this application for Patti and Keith in their perspective. All questions and answers are based on their dog ownership history/love for Corgis/want for a dog currently/etc.
Why do you want a Pembroke?	I've had multiple conversations with Patti and Keith about why they love Corgi dogs. They noted that they love their stature, and outgoing nature. They really want a dog that they can snuggle with, and also take for walks, and they feel that the Corgi can do just that. They've researched the breed and understand its care, shedding, etc. They've had dogs in the past and look forward to adding a Corgi to their family.
Activities planned with Pembroke:	They are excited to take their Corgi for walks, play outside, and cuddle indoors. Patti and Keith are in their mid 60's, and look forward to making the Corgi part of their family.
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:	Say "NO" and show them what is right. IE: if dog pottys in the house, say no, and take them outside.
Discipline:	Say "NO" and help them understand what they did wrong.
Where would Pembroke spend the majority of the time:	In the house, upstairs with Patti and Keith.
Discipline:	Say "NO" and help them understand what they did wrong. Where would Pembroke spend the majority of the time: In the house, upstairs with Patti and Keith.
House dog or outside dog?	House dog
People at home during the day?	Yes. Patti or Keith are always home to care for their dog.
Where would dog eat?	At their food dishes in the kitchen/living room.
Where would dog sleep:	On a doggy bed in Patti and Keith's bedroom.
Play & exercise:	Previously, Patti and Keith walked their dog Winnie every day. They'd like to get continue this habit with a new dog, and give the new dog toys to play with.
How will you exercise your dog?	On leash
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 in the country, recessed far from the road.
Landlord info:
May we contact your landlord?
Lease allow dogs:
Landlord permission:
Restrictive covenants?	Not applicable
Breed/size restrictions?	No
Description of yard:	No large fixtures like swimming pools. Large country yard with grass, trees and open air.
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?	Patti Horlacher
Willing to train children?	N/A…yes, to any children that may visit.
Any allergies?	No one is allergic.
Current pets:
Current pets dog friendly?
Are you willing to work on it if your new dog doesn’t get along with your current pets right away?	N/A, but 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: