Untitled_1782 - Lakeshore Pembroke Welsh Corgi Rescue

Date & Referral Source
State:		Date of Application:	04/21/2018	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:	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:	Black Headed Tri, Sable & White, Any color	Activity level:	Couch Potato, Outgoing, Playful, Energetic
Other preferences:	A dog that will love to go on walks, spend days on the beach, at a dog park. Loves to go on adventures and being spoiled.
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
Why do you want a Pembroke?	I have always wanted a corgi, I love their size, how intelligent and loyal they are. I have worked at a humane society and fell in love with their behavior and how caring dogs they are. I have done lots of research on the breed and am very willing and able to help with any health issue the dog might come with or try to keep the dog off of the overweight side.
Activities planned with Pembroke:	Go on morning/night walks. Bring him/her to the beach, hikes, dog parks. Bring the dog on several camping trips and exploring.
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 the dog made a mistake and for example chews up my shoes I would show them the shoe and tell them that it is bad and move my shoes to avoid this happening. I wouldn't use force to punish the dog because I don't believe in hitting animals to get them to comply.
Discipline:	I would talk strict if something happened which was bad. I would take away favorite toys if need be. If something was bad I would put the dog in a kennel to show he/she did something bad.
Where would Pembroke spend the majority of the time:	Either inside the house while I'm home, in a kennel if I'm gone for awhile, otherwise spending time outside with me if weather permits.
Discipline:	I would talk strict if something happened which was bad. I would take away favorite toys if need be. If something was bad I would put the dog in a kennel to show he/she did something bad. Where would Pembroke spend the majority of the time: Either inside the house while I'm home, in a kennel if I'm gone for awhile, otherwise spending time outside with me if weather permits.
House dog or outside dog?	House dog
People at home during the day?	Yes.
Where would dog eat?	Have a food and water bowl in the kitchen available.
Where would dog sleep:	On his/her dog bed, the couch, my bed. Wherever he/she wishes.
Play & exercise:	At least one walk in the morning/night. Time outside playing with toys or running freely at a dog park. Or playing inside with toys. During nice weather have about an hour or more time at a dog park. Several opportunities during the day to play in the yard or inside the house.
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:	Garage to one side. Small shed on the other side. Good amount of space to run freely.
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?	Myself, Samantha
Willing to train children?	Yes.
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: