Untitled_1632 - Lakeshore Pembroke Welsh Corgi Rescue

Date & Referral Source
State:		Date of Application:	02/04/2018	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:	Male	Color preferred:	Any color	Activity level:	Outgoing, Playful
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?	14 y/o daughter
Why do you want a Pembroke?	We love Corgis as a breed because of their 'big dog in a little body' personality. They are adorable and active, and are said to be very friendly. From what I've read and the corgis I've met, I know the breed is good for our active lifestyle.
Activities planned with Pembroke:	-Frequent walks -Obedience school and frequent training -Agility training (infrequent) -Enrichment activities (going to new places, conventions, travelling, swimming)
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:	Positive reinforcement always works the best. I do not believe in harsh methods of punishment, but rather redirecting their energy into something positive, like a walk. Dogs only have a 20 second memory span, so punishing them long after an incident is also something I do not condemn. I believe in handling the dog with respect, calmness, and leadership.
Discipline:	-Sit command -Isolation -Distraction -Squirt bottle -"No!"
Where would Pembroke spend the majority of the time:	With me or my daughter, and in 20 minute spans in a crate designated for her well-being and comfort.
Discipline:	-Sit command -Isolation -Distraction -Squirt bottle -"No!" Where would Pembroke spend the majority of the time: With me or my daughter, and in 20 minute spans in a crate designated for her well-being and comfort.
House dog or outside dog?	House dog
People at home during the day?	Yes, usually me because my job (realtor) is very flexible, and my husband is a publisher, so we can work from home often.
Where would dog eat?	https://www.google.com/aclk?sa=l&ai=DChcSEwi4yazovo3ZAhUZnsAKHY3lDb8YABAWGgJpbQ&sig=AOD64_25yznWoIVu_rSTVUtpyfsqAvxNrA&ctype=5&q=&ved=0ahUKEwjmoKbovo3ZAhUm0IMKHUiEAk0Q9aACCDY&adurl= (Link to food brand)
Where would dog sleep:	In a crate (sometimes not if responsibility is good) in my daughter's room
Play & exercise:	-Will get a fast paced, 30 minute walk 3 times a day -Will have mentally stimulating toys -Swimming -Hikes
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?	Tall, around 4 feet. Black wire and goes a small way underground.
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:	There is a large, chain link fence in the backyard and a large swing for the kids. There is also a swing in the front and lots of room to run.
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?	Sammy
Willing to train children?	Absolutely!
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?	Absolutely.
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: