Untitled_1745 - Lakeshore Pembroke Welsh Corgi Rescue

Date & Referral Source
State:		Date of Application:	04/01/2018	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, 3 years – 5 years, 5 years – 10 years	Gender preferred:	Either a Male or a Female	Color preferred:	Any color	Activity level:	Couch Potato, Outgoing, Quiet, Playful, Energetic, Very Active
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?	My family. Myself, my husband, daughter (age 4) daughter (age 3 months), Chihuahua (age 11)
Why do you want a Pembroke?	What first attracted me to the Corgi was that it looks identical to my German Shepard/husky mix dog that passed away, only shorter. I like their smaller size and that they are energetic. I have done research on the breed online.
Activities planned with Pembroke:	I have a two acre lawn, the activities would include playing in the yard with the kids, going for walks, playing fetch. We also have a farm down the road, if the Corgi enjoyed going there I would take them to walk and play there as well.
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:	If it went to the bathroom on the floor I would point at it say "No" and put it outside or take it outside. I would be consistent in telling it No when bad behavior took place and try to teach it the correct way to behave. I would also utilize putting it in its kennel for some time ( less than an hour) if the behavior continued.
Discipline:	Stern voice and face. Loud verbal commands. Time out in its kennel.
Where would Pembroke spend the majority of the time:	I am looking for an inside dog so it would be in my home all day. If it could not be trusted alone I would have to put in a kennel if we left. I have a large kennel that I used with my German Shepard that is inside. While my husband and I are at work the kids are home with a baby sitter so the dog would not be alone much.
Discipline:	Stern voice and face. Loud verbal commands. Time out in its kennel. Where would Pembroke spend the majority of the time: I am looking for an inside dog so it would be in my home all day. If it could not be trusted alone I would have to put in a kennel if we left. I have a large kennel that I used with my German Shepard that is inside. While my husband and I are at work the kids are home with a baby sitter so the dog would not be alone much.
House dog or outside dog?	House dog
People at home during the day?	Yes. The whole family is home on the weekends and the kids and babysitter are home during the day.
Where would dog eat?	The bowl and water dish would be in the kitchen.
Where would dog sleep:	I would have a dog bed near my own bed. If the dog happened to be destructive during the night there would be a dog bed in the kennel.
Play & exercise:	We have a large yard where it could run and exercise daily. In nice weather it could be taken out on a leash for walks with me as well. We also have two sets of stairs in our home. Our yard is not fenced in but it is about an acre and a half and it is surrounded by corn fields. If there became a problem with the dog leaving the yard I would look into underground fencing rather than a full fence due to the size.
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:	I have a house with a large acre and half yard. There are no swimming pools. We have a couple of small barns and a large barn in our yard. There is a swing set in the back. The yards has several trees that line the back and side.
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?	Laura Normington
Willing to train children?	Yes. My children have had dogs since they were born. We currently have a Chihuahua that they take care of. It sleeps in my 4 year olds bed.
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 could work with them so that they grew used to each other. My dog visits my parents dogs regularly and gets along with them.
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: