Untitled_1752 - Lakeshore Pembroke Welsh Corgi Rescue

Date & Referral Source
State:		Date of Application:	04/05/2018	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	Gender preferred:	Either a Male or a Female	Color preferred:	Any color	Activity level:	Couch Potato, Outgoing, Quiet, Playful, Energetic, Very Active, Other (Please describe in the box below.)
Other preferences:	We would prefer not to have a pup with severe behavior issues.
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?	This pup would be for our family. We currently have a rescue mut that we would love to have a companion for. She is 2 years old, loves all people and dogs. Our ideal corgi would have a similar personality and be good with future children (currently no children in the home). We would be ok with raising a puppy or young adult. We have a large fenced in backyard and live in a house.
Why do you want a Pembroke?	We love corgis! My dad and step mother own a corgi and we have always enjoyed the breed. We have researched and understand they are a herding breed and can potentially be "nippy" however this is something we are willing to work on. All of our different interactions have always been positive.
Activities planned with Pembroke:	We go for daily walks and also love hiking. We play fetch, go for swims, and take our current dog pretty much everywhere we can with us, that would be the same for our new addition.
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:	try and correct the mistake/positive reinforcement. Work on having the dog understand No
Discipline:	positive reinforcement, when our dog does something good they get a treat, bad they get a firm , no
Where would Pembroke spend the majority of the time:	at our house with our current dog. Our current dog is housetrained and we allow her to roam free throughout the day. While potty training we crate trained her until she was trusted to be in the house alone.
Discipline:	positive reinforcement, when our dog does something good they get a treat, bad they get a firm , no Where would Pembroke spend the majority of the time: at our house with our current dog. Our current dog is housetrained and we allow her to roam free throughout the day. While potty training we crate trained her until she was trusted to be in the house alone.
House dog or outside dog?	House dog
People at home during the day?	My husband comes home for lunch almost everyday. Otherwise they would be home alone for a max of 5-6 hours each day.
Where would dog eat?	In our designated "doggy" spot outside the kitchen
Where would dog sleep:	Crate to start depending on their training. Our current dog sleeps in bed with us.
Play & exercise:	We take our current dog at least once out every morning and evening during the week. Weekends we always try to do some sort of outdoor activity with them as well
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?	It is the entire perimeter of our backyard
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 fenced in back yard with a garden and a wood patio.
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 my husband and I share the responsibilty
Willing to train children?	Yes, we currently have no children but plan on the future to have them. It is very important to us for our children to treat animals with respect and love them just as much as we do.
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?	We would want to have a meet and greet before adopting. It is very important to us for our new dog to get along with our current, as well as be well socialized.
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: