Untitled_1864 - Lakeshore Pembroke Welsh Corgi Rescue

Date & Referral Source
State:		Date of Application:	06/08/2018	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, 3 years – 5 years, 5 years – 10 years	Gender preferred:	Either a Male or a Female	Color preferred:	Any color	Activity level:	Outgoing, 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?	We are looking for a Kid friendly Dog for our family. The dog needs to be good around kids. My name is Shannon, and my husband is named Doug, and my Son is 4 years old, and named Graham. I used to work for someone that owned an pembroke, and I fell in love with the breed. I have always wanted an pembroke.
Why do you want a Pembroke?	I love the height of the breed, the look, and personality of the breed. I used to work for someone that owned an pembroke and I feel inlove with it. It was such a loyal dog, and friendly.
Activities planned with Pembroke:	likes to play fetch, and be good with kids, and like to go on walks.
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?	No
Vet contact info:
Will handle mistakes Pembroke makes like this:	teach it the right way to do it. learn different ways to teach the dog how to behave.
Discipline:	whatever techniques the trainer teaches me.
Where would Pembroke spend the majority of the time:	We would go on lots of walks, go to the local dog park. play outside. He or she would have to be cage trained for durring the day while I am at work.
Discipline:	whatever techniques the trainer teaches me. Where would Pembroke spend the majority of the time: We would go on lots of walks, go to the local dog park. play outside. He or she would have to be cage trained for durring the day while I am at work.
House dog or outside dog?	House dog
People at home during the day?	Most of the time. I work half days, and we are home on the weekends.
Where would dog eat?	in our kitchen.
Where would dog sleep:	I would buy a bed for the livingroom or let her sleep in our room.
Play & exercise:	We would go on at least 3 or 4 walks a day. Play outside in the yard. We will buy toys, bones, treats. We are a playfull family.
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?	its a fence that is in the back of the house.
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:	3 bedroom ranch house. yard medium sized house.
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?	Shannon Williams
Willing to train children?	Yes
Any allergies?	No one is allergic.
Current pets:
Current pets dog friendly?
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: