Untitled_1540 - Lakeshore Pembroke Welsh Corgi Rescue

Date & Referral Source
State:		Date of Application:	12/06/2017	Referred by:	Other
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
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?	Mainly my 11 year old daughter but would be a family member for all 4 of us.
Why do you want a Pembroke?	They have similar traits on why we love the Rottweiler breed – very affectionate, love to be involved with the family, and tend to follow wherever we go. They have a great desire to please their owners, thus making them eager to learn and train.
Activities planned with Pembroke:	Our family loves being outdoors, we camp frequently in summer. My dad owns property near water so we are typically in the lake during the summer either swimming or fishing. We like to hike at the different parks near 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?	Yes
Vet contact info:
Will handle mistakes Pembroke makes like this:	We've always had success with rewarding good behavior – with either treats, belly rubs, etc. When mistakes happen we use a stearn voice and a finger shake saying "no". Then we repeat the correct behavior and praise the dog.
Discipline:	Usually a stearn calm voice and a finger shake, sometimes ignoring the dog for just a few minutes.
Where would Pembroke spend the majority of the time:	Inside our home unless we are outside.
Discipline:	Usually a stearn calm voice and a finger shake, sometimes ignoring the dog for just a few minutes. Where would Pembroke spend the majority of the time: Inside our home unless we are outside.
House dog or outside dog?	House dog
People at home during the day?	yes
Where would dog eat?	in our kitchen
Where would dog sleep:	depends on if they are crate trained for sleeping otherwise on a dog bed in my daughter's room
Play & exercise:	Typically during the week would be before school for a little bit and definitely after school & work. Our dog now only plays ball for about 30 minutes and then looses interest 🙁
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:	We have just about 2 acres that is not fenced. 1 outer building: shed and the only fixture would be our deck and fire pit.
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?	Marissa & Amanda
Willing to train children?	already have done this
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, a dog is not a toy
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: