Untitled_1638 - Lakeshore Pembroke Welsh Corgi Rescue

Date & Referral Source
State:		Date of Application:	02/07/2018	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:	Outgoing, Playful
Other preferences:	We have a fenced in "corgi" yard from our previous 2 boys which we lost almost 3 years ago. We do have grandchildren that visit frequently.
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 husband and myself.
Why do you want a Pembroke?	We had two corgi boys and fell in love instantly. One was hydrocephalic at birth but we purchased him anyway. He was a definite special needs but so much fun and their antics and loyalty stole our hearts.
Activities planned with Pembroke:	They would be outside with me a lot in the gardens. We would walk them and take them camping.
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:	Quietly with firm instructions to dog.
Discipline:	Reprimand without physical involvement. Put in a "time out" place.
Where would Pembroke spend the majority of the time:	In the house. I am retired and at home most of the time.
Discipline:	Reprimand without physical involvement. Put in a "time out" place. Where would Pembroke spend the majority of the time: In the house. I am retired and at home most of the time.
House dog or outside dog?	House dog
People at home during the day?	Yes
Where would dog eat?	Probably in kitchen area.
Where would dog sleep:	We have a large mud room with a dutch door. That is where our other dogs slept.
Play & exercise:	Yes and as often as they need.
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?	We have 2 acres but added a large fenced area off our back door which has a ramp that my husband built for our blind corgi.
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:	Country property with rather large fenced "corgi" yard. No pool.
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?	myself, Pam
Willing to train children?	Yes, of course.
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?	Yes.
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: