Untitled_1739 - Lakeshore Pembroke Welsh Corgi Rescue

Date & Referral Source
State:		Date of Application:	03/30/2018	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:	Any age	Gender preferred:	Either a Male or a Female	Color preferred:	Any color	Activity level:	Couch Potato, Quiet, 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 us and our puppers
Why do you want a Pembroke?	I have loved this breed for quite some time and have done some research on the breed, and a Corgi will fit my lifestyle. My experiences with the breed are limited to mostly facebook groups and seeing them while at dog parks. I may have limited face to face or caring experience for a Corgi but I have had many other dogs and believe every dog should have a good home. I also love the ambitiousness and activity level of the breed.
Activities planned with Pembroke:	I would take my Corgi on daily walks, unless it is too dangerous to do so. Playing fetch and snuggles are also things that would be enjoyable. Cute videos would always be posted online because they bring joy to everyones lives.
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:	Gentle corrective action, positive reinforcement
Discipline:	positive reinforcement
Where would Pembroke spend the majority of the time:	on the couch
Discipline:	positive reinforcement Where would Pembroke spend the majority of the time: on the couch
House dog or outside dog?	House dog
People at home during the day?	yes
Where would dog eat?	in the kitchen with the family
Where would dog sleep:	in the bed
Play & exercise:	Run in the fenced in yard (1/3 acre), two dogs to play with, tons of toys and tennis balls.
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?	board on board 7ft privacy 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:	grass with 3 trees and a patio roughly 6 inches tall on a 1/3 acre
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?	Both are equally responsibile
Willing to train children?	our child is 25
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: