Untitled_1867 - Lakeshore Pembroke Welsh Corgi Rescue

Date & Referral Source
State:		Date of Application:	06/10/2018	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	Gender preferred:	Either a Male or a Female	Color preferred:	Any color	Activity level:	Couch Potato, Outgoing, Quiet, Playful
Other preferences:	We have a 7 year old.
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?	Our family.
Why do you want a Pembroke?	We had a corgi in our lives for almost 13 years named Sid. He was my best friend and we loved him. My son was only 4 when Sid passed. WE are considering having another dog in our lives and the Pembroke welsh corgi is such a lovable breed.
Activities planned with Pembroke:	We go to the park, go for walks, and run. Also lots of cuddling.
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:	Corgi's are very sensitive. Use from voice commands. Praising positive behavior and ignoring negative behavior.
Discipline:	as above.
Where would Pembroke spend the majority of the time:	We live in a condominium . Most of the time would be spent there. We would make a special bed etc. There are parks nearby so there are plenty o places for walks and running.
Discipline:	as above. Where would Pembroke spend the majority of the time: We live in a condominium . Most of the time would be spent there. We would make a special bed etc. There are parks nearby so there are plenty o places for walks and running.
House dog or outside dog?	House dog
People at home during the day?	most of the time.
Where would dog eat?	In the kitchen. We understand corgis are prone to weight gain since they east to their heart's content. We would e mindful of our corgi's diet and activity level.
Where would dog sleep:	Likely in our son's room or our room. That is where Sid would sleep. He when were ever he wanted to sleep.
Play & exercise:	We would walk our corgi at least 3 times a day. More on the weekends. We will spend a lot of time at the park.
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?	No, the condo covenants do not prevent me from having a dog.
Breed/size restrictions?	Yes
Description of yard:	NA
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?	Mark
Willing to train children?	Our son Louie did spend time with our corgi (and we had a cat at the time too) and did very well with Sid.
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?	NA
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: