Untitled_1823 - Lakeshore Pembroke Welsh Corgi Rescue

Date & Referral Source
State:		Date of Application:	05/11/2018	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:	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
Other preferences:	Will stay without being on a leash and is friendly with us and cats.
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?	Family of 3
Why do you want a Pembroke?	We have talked to many owners of corgis that we have run into over the past couple years ever since our daughter has loved the breed. We have always had small dogs in the past and love the personality of corgis and believe they would fit well into our lifestyle. We have a close friend who owns a corgi and he has made us aware of his corgi’s temperament, but that is something we have dealt with from our past dogs and loved them regardless.
Activities planned with Pembroke:	We live on a lake and would let him or her swim in the lake and go on boat rides if that is what they like to do, and there are trails near our home that we will take him on to walk.
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:	Figure out a way to condition him not to make the same mistake again.
Discipline:	Make them lie down
Where would Pembroke spend the majority of the time:	In the house or with us outdoors in the summer.
Discipline:	Make them lie down Where would Pembroke spend the majority of the time: In the house or with us outdoors in the summer.
House dog or outside dog?	House dog
People at home during the day?	Yes
Where would dog eat?	In the open kitchen/living room/dining room open concept area
Where would dog sleep:	In our bedroom or living room
Play & exercise:	We have a large yard where he or she can run around in with no traffic. We have trails that we can walk him down and lake where he or she can swim. Our corgi will have opportunities every day to get exercise
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:	Our yard wraps around our house with some wooded area between us and our neighbors. We live on the end of a cul-de-sac where the dog would be safe from traffic.
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?	Jody Bognar, then Ali Bognar once she finishes college in a couple years
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. None of our cats have ever had any problem with our past dogs or dogs that we have cared for for nights on end.
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: