Untitled_1655 - Lakeshore Pembroke Welsh Corgi Rescue

Date & Referral Source
State:		Date of Application:	02/16/2018	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:	3 years – 5 years, 5 years – 10 years	Gender preferred:	Male	Color preferred:	Any color	Activity level:	Couch Potato, Outgoing, Quiet, Playful, Energetic
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?	For me. I’m looking for a brother for my 4 year old Welsh Corgi/Scottish Terrier mix.
Why do you want a Pembroke?	Walter has been such a blessing in my life. He is the perfect companion. He is smart, protective, friendly, loving, and an all-around good dog. I’d like for him to have a brother. Walter is a mix, but he is very much a Corgi. I’d like my second dog to be a corgi for those reasons. I belong to several Corgi groups on Facebook. I did extensive research before Walter came to live with me.
Activities planned with Pembroke:	We weould go to the dog park, go for walks, watch tv at home, play fetch, and go out to dinner. Walter is considered part of the family. His brother would be the same. I work from home 2 days a week, which allows Walter to have a lot of freedom on those days. One day a week he goes to daycare for socializing and maximum play time. 2 days a week Walter is crated while I’m at the office.
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:	With Walter I used a pet corrector (compressed air) and I’d say “no” loudly and firmly.
Discipline:	Same as above.
Where would Pembroke spend the majority of the time:	In the house.
Discipline:	Same as above. Where would Pembroke spend the majority of the time: In the house.
House dog or outside dog?	House dog
People at home during the day?	Of a 5 day work week, he would spend 2 days in a crate, 2 days at home with me, 1 day at daycare. Weekends would be a mix of crate and free in the house. I never leave Walter out of his crate for more than a few hours if no one is home.
Where would dog eat?	Walter eats in his crate. I would expect his brother to do the same.
Where would dog sleep:	In his crate.
Play & exercise:	Play/exercise includes walks before work, walks after work, free roam of the house when I’m home, daycare, and dog park.
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:	Small, partially fenced yard. Trees and grass. Some dog safe flowers. Planning to fully fence this summer.
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?	Me. I live alone.
Willing to train children?	I don’t have children
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
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: