Untitled_1765 - Lakeshore Pembroke Welsh Corgi Rescue

Date & Referral Source
State:		Date of Application:	04/14/2018	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:	Red & White, Sable & White	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?	Myself and husband
Why do you want a Pembroke?	Our previous dog, Lucy, was a corgi rescue. She was the best dog we have had. We loved her from her personality to her looks. We never had a corgi before her, but we want another corgi. She loved people, rubs, and sleeping in with us on lazy weekends. She was very sociable and smart.
Activities planned with Pembroke:	We love taking our dogs with us to different places; dog parks, vacations, etc. We live in a neighborhood and take our dogs on walks around the neighborhood. We have a pretty big backyard that is fenced. We throw toys around and in the summer, we have a dog pool 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:	Verbal cues, frequent letting outside, trainer if needed (we have a trainer for our Yorkiepoo)
Discipline:	Verbal "no", positive reinforcement
Where would Pembroke spend the majority of the time:	Out with us and other dog. If we are gone, our other dog is crated. My husband works from home most days and if he goes into work, it is only for 4-5 hours.
Discipline:	Verbal "no", positive reinforcement Where would Pembroke spend the majority of the time: Out with us and other dog. If we are gone, our other dog is crated. My husband works from home most days and if he goes into work, it is only for 4-5 hours.
House dog or outside dog?	House dog
People at home during the day?	Most days my husband is since he can work from home.
Where would dog eat?	Kitchen where the other dog bowls are.
Where would dog sleep:	In our bed or dog bed in our room. o
Play & exercise:	Daily in our backyard and house. 4-5 times throughout the week for walks around the neighborhood; other opportunities include dog parks and walking around downtown Indianapolis
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?	Wooden; 6-7ft 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:	Fenced in backyard. 6-7ft tall fence. Fire pit (raised). No trees. Concrete 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 Myself and Matthew
Willing to train children?	Yes, of course.
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: