Untitled_1615 - Lakeshore Pembroke Welsh Corgi Rescue

Date & Referral Source
State:		Date of Application:	01/25/2018	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:	Quiet, Playful
Other preferences:	We do have a cat that is rather skittish and do need a dog that can get adapt to a new environment easily.
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 wife and I who are retired and can provide a loving home and large yard for the right dog, who also can get along with our cat.
Why do you want a Pembroke?	I had a Corgi many years ago and loved the personality and intelligence. Now that we're retired I've researched many other dog breeds and keep coming back to the Pembroke Welsh Corgi as the perfect size and temperament for our lifestyle and activity.
Activities planned with Pembroke:	We have a large yard for daily play and a quiet neighborhood for frequent walks. The Pembroke Welsh Corgi will have a lot of attention with both my wife and I retired to have time train and maintain a new member of our 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:	Firm verbal command, no physical punishment. Redirect with positive reinforcement.
Discipline:	Firm verbal commands with treats for following instructions.
Where would Pembroke spend the majority of the time:	Indoors with with either my wife or I while in our home office or studio.
Discipline:	Firm verbal commands with treats for following instructions. Where would Pembroke spend the majority of the time: Indoors with with either my wife or I while in our home office or studio.
House dog or outside dog?	House dog
People at home during the day?	Yes – we're both retired but do go out for shopping trips.
Where would dog eat?	Separate area in our laundry room.
Where would dog sleep:	In their own bed near ur.
Play & exercise:	We're retired and will make time to play, exercise and have frequent walks. We also have very large yard to explore and play in, and will install an underground fence for containment.
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:	One acre lot with lots of room to play and will be installing an invisible fence.
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?	Ken Wickham
Willing to train children?	No children live with us.
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 we will work with our cat and adopted dog
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: