Untitled_1571 - Lakeshore Pembroke Welsh Corgi Rescue

Date & Referral Source
State:		Date of Application:	12/29/2017	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:	1 year – 3 years, 3 years – 5 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?	Us, our corgi Lola crossed the rainbow bridge on Christmas Eve and we hope to welcome a new family member into our home.
Why do you want a Pembroke?	Lola was our first corgi and we fell in love with the breed. I owned a chow/Shepard mix prior to Lola and the strong personality matched that of my chow mix but in a smaller package. We love that they are a heartier breed, meaning even with their small stature they are active dogs.
Activities planned with Pembroke:	We love walking the trails by our home so there would be a lot of walks, traveling to WI to visit Grandma and Grandpa, play time and cuddle time. They would be part of our everyday, part of the 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:	Corrective training
Discipline:	Rewarding positive behavior
Where would Pembroke spend the majority of the time:	In the house, with us.
Discipline:	Rewarding positive behavior Where would Pembroke spend the majority of the time: In the house, with us.
House dog or outside dog?	House dog
People at home during the day?	Sometimes
Where would dog eat?	Dog dishes are in kitchen.
Where would dog sleep:	In our room
Play & exercise:	We have walking trails by our Home and my hausband and I both enjoy walking. There would be short morning walks and afternoon extended walks as well as family walks during the weekends. Playtime would include toys, I enjoyed hide and seek with our sweet Lola, I’d hide and shed find me. We also have some dog games that I used to use when Lola was younger and needed to keep busy, puzzle games where treats or rewards are placed inside and they need to figure out how to get the reward. We usually had playtime in the evenings and during the day when Lola needed me to take a break from my work. We also have a dog park in town that we could visit.
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 a small but lovely back yard with a deck and trees. We also have an inclosed sunporch that have corgi sized windows along the floor. Our Lola loved to watch the squirrels and birds from those windows. Our yard isn’t currently fenced but we have a tie out that is by the deck. Generally we are outside when the Pet would be out. The area is shaded with trees and our yard backs up to a protected area so it is very peaceful.
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?	Pat & Bobbi would share care
Willing to train children?	We don’t currently have children but yes, we would be open for teaching children.
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
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: