Untitled_1793 - Lakeshore Pembroke Welsh Corgi Rescue

Date & Referral Source
State:		Date of Application:	04/27/2018	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:	Any age	Gender preferred:	Either a Male or a Female	Color preferred:	Any color	Activity level:	Other (Please describe in the box below.)
Other preferences:	Willa is kenneled about 8 hours per day M-F and I would anticipate another dog having a similar routine. We have a fenced backyard and are a mile from the local dog park. I have had 2 WPC before; both passed about 2 years ago so I am familiar with health issues & care. We are financially secure so would be able to properly care for another pet.
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, primarily me
Why do you want a Pembroke?	I have had 2 PWC before and love their attitude, playfulness, herding abilities (or lack thereof, on the case of my Max!) and their fluffbutts.
Activities planned with Pembroke:	Walks dog park time (if dog is behaviorally able), tricks/basic agility if able, snuggles, GROOMING!
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:	Depends on the mistake. Re-direction, remove from situation, etc.
Discipline:	Positive reinforcement
Where would Pembroke spend the majority of the time:	Kenneled during day when spouse & I are at work (or work hours don't overlap directly so it works be 6-8 hours per day), then with us walking, at the park, relaxing, etc.,
Discipline:	Positive reinforcement Where would Pembroke spend the majority of the time: Kenneled during day when spouse & I are at work (or work hours don't overlap directly so it works be 6-8 hours per day), then with us walking, at the park, relaxing, etc.,
House dog or outside dog?	House dog
People at home during the day?	Not between about 6 am and 2 pm
Where would dog eat?	Where needed to maintain peace with Willa. Kennel or separated ic needed.
Where would dog sleep:	Kennel at first, if tolerated, then acclimate to run of the house. Willa still sleeps on her kennel most of the time.
Play & exercise:	Dog park if tolerated, walks, back yard play. We aim for a strong hour per day with Willa.
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?	4' cabin link.
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:	Mix of sun & shade. Several small garden beds. Garden shed. Small patio area.
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?	Jen
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. The ferrets have separate space & play time
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: