Untitled_1736 - Lakeshore Pembroke Welsh Corgi Rescue

Date & Referral Source
State:		Date of Application:	03/28/2018	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:	Any color	Activity level:	Couch Potato, Outgoing, Quiet, 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?	Both of us
Why do you want a Pembroke?	I have researched several breeds, and was very interested in the Pembroke welsh corgi breed. First, they are absolutely adorable. Like most dogs, I’ve read about how I intelligent and loyal they are. I like how they can be sturdy little guard dogs as well. Dane is very loving and affectionate with animals, especially dogs. He has always had rescue dogs and doesn’t believe in buying from a breeder, so he told me if I wanted a corgi it would have to be a rescue.
Activities planned with Pembroke:	We are both active people who enjoy jogging/running and walking in the neighborhood. We also have several parks in the area, so the dog will get lots of exercise
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:	Firm but calmly disciplining the corgi by telling him/her no immediately. Then changing the behavior depending on the situation. (Such as if the problem is nipping, giving them an appropriate chew toy)
Discipline:	I’ve read that corgi’s are herding dogs and may try to herd their owners. I’ve read that it is important to use calm, firm, consistent leadership.
Where would Pembroke spend the majority of the time:	In the house/ in the yard
Discipline:	I’ve read that corgi’s are herding dogs and may try to herd their owners. I’ve read that it is important to use calm, firm, consistent leadership. Where would Pembroke spend the majority of the time: In the house/ in the yard
House dog or outside dog?	House dog
People at home during the day?	Yes. Dane works midnights, so he is home during the day. I work days so I am home during the night. We only work approximately 14 days a month, and are home the rest of the month
Where would dog eat?	Main floor, from a dog bowl.
Where would dog sleep:	He/she would sleep with us, or in a doggie bed as long as he/she does not get into things. If he/she is destructive during the night, he/she would sleep in a large dog crate.
Play & exercise:	Our corgi will be walked daily. He/she will be taken to the park frequently. There is also a dog park close where he/she could run around and play fetch with us.
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 approximately 4ft tall
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, clean fenced in yard
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?	Dane and I
Willing to train children?	No 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 I am
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: