Untitled_1644 - Lakeshore Pembroke Welsh Corgi Rescue

Date & Referral Source
State:		Date of Application:	02/12/2018	Referred by:	Other
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, Quiet, Playful
Other preferences:	We would prefer it not to bark a lot since Dana works from home and is on the phone quite a bit. But we are open to consider any personality. We would just love to have a Corgi!!!!
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?	Our family dog
Why do you want a Pembroke?	We love the look of them, we have done our research and we have a 13 year old daughter that has a lot of energy that would fit a corgi very well. We love to go for walks and do a lot of camping an other outdoor activities that would fit our needs very well.
Activities planned with Pembroke:	Walking, hiking, playing in our fenced in backyard. 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?	No
Vet contact info:
Will handle mistakes Pembroke makes like this:	Nicely but firmly tell it it did something wrong.
Discipline:	Our last dog we used a spray bottle with water that worked very well when it was a puppy, but all dogs are different.
Where would Pembroke spend the majority of the time:	In our house and backyard
Discipline:	Our last dog we used a spray bottle with water that worked very well when it was a puppy, but all dogs are different. Where would Pembroke spend the majority of the time: In our house and backyard
House dog or outside dog?	House dog
People at home during the day?	Yes. Dana works from home
Where would dog eat?	Unsure yet we are still researching dog food for them and very willing for suggestions
Where would dog sleep:	Hopefully it’s dog bed in our bedroom
Play & exercise:	Several times a day. We all enjoy waking and playing the yard.
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?	Six foot wooden fence completely enclosed
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 large yard with only flower beds and a swing set.
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?	All of us depending on time of the day
Willing to train children?	Yes our daughter has babysat and pet sat for friends and neighbors of ours
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?	Our fish will not have a problem
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: