Untitled_1839 - Lakeshore Pembroke Welsh Corgi Rescue

Date & Referral Source
State:		Date of Application:	05/24/2018	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:	3 years – 5 years	Gender preferred:	Female	Color preferred:	Any color	Activity level:	Outgoing, Quiet, Playful, Energetic
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?	Andrea
Why do you want a Pembroke?	I have had Corgis for many years now, and love the breed. I would like to give a home to one and would like for Cody to have a companion. I really like their attitude and intelligence, they can be challenging, but we are willing to work with them so everyone is happy.
Activities planned with Pembroke:	We have a vineyard and trout hatchery, so we would be spending alot of time outside working. They have always been my little work companions.
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 to figure out why they didn't understand the command, break it down into smaller steps so they do undertand what I want.
Discipline:	Positive reinforcement, body blocking to correct jumping or charging, verbal correction.
Where would Pembroke spend the majority of the time:	With me, our business is on site, so I am here pretty much 24/7.
Discipline:	Positive reinforcement, body blocking to correct jumping or charging, verbal correction. Where would Pembroke spend the majority of the time: With me, our business is on site, so I am here pretty much 24/7.
House dog or outside dog?	House dog
People at home during the day?	Yes
Where would dog eat?	In our kitchen.
Where would dog sleep:	In the sunroom along with my other corgi.
Play & exercise:	I play with mine every morning and evening along with outside time during the day.
How will you exercise your dog?	On leash
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:	We have 12 acres, 5 of which is vineyard along with 2 acres of yard. We have two large ponds along with 5 raceways that we raise our trout in. I have the entire vineyard and yard in invisible fence.
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?	Andrea
Willing to train children?	No children in home, although our grandchildren who are 8 and 5 visit. They have been taught the proper way to treat a dog.
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: