Untitled_1633 - Lakeshore Pembroke Welsh Corgi Rescue

Date & Referral Source
State:		Date of Application:	02/04/2018	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:	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:	Red & White, Sable & White	Activity level:	Couch Potato, Outgoing, Quiet, Playful, Energetic, Other (Please describe in the box below.)
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?	Myself and my family.
Why do you want a Pembroke?	I have never had a corgi but have been researching and joining groups on fb to see how they are. I think a corgi would be prefect for our family since we have pets and I ride horses. We ate very active and are seeking a companion and playmate for the kids and other dog. I am allay liking to be able to take one with me every where I go.
Activities planned with Pembroke:	Go to the park, go for walks, play in our fenced in backyard, play fetch play with ropes, cuddle, tale or on our boat with lifeatures jacket if it likes to, go for car rides and to see grandma.go to the beach…
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:	Correct it as necessary… depending on the situation.
Discipline:	Training and positive reinforcement
Where would Pembroke spend the majority of the time:	In the house with me and my children, in my fenced in backyard. ..basically attatched to my hip! Lol
Discipline:	Training and positive reinforcement Where would Pembroke spend the majority of the time: In the house with me and my children, in my fenced in backyard. ..basically attatched to my hip! Lol
House dog or outside dog?	House dog
People at home during the day?	All day
Where would dog eat?	In our kitchen
Where would dog sleep:	In my room on a dog bed or in bed with me
Play & exercise:	All day every day in our backyard or at a park or any other place we may take it
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?	Chain link fence
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:	Large open yard, trampling, garden sand box
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?	Hope Thume
Willing to train children?	Thwy are very good worth of current dig and know how to respect animals and treat them correctly.
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?	Things can usually be worked on. Pets take time to adjust to a new animal coming in the house but my current dog loves other dogs so it really shouldn't be an issue.
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: