Untitled_1870 - Lakeshore Pembroke Welsh Corgi Rescue

Date & Referral Source
State:		Date of Application:	06/11/2018	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:	Quiet, Playful
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?	Both of us and college age son
Why do you want a Pembroke?	I love the breed because it's small, friendly, and cuddly. We have friends and neighbors with Corgis and love how well behaved they are. They shed lots do need attention and regular exercise in order to thrive with a family.
Activities planned with Pembroke:	Walking, relaxing, playing fetch or other games.
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:	Spray bottle and firm no
Discipline:	spray bottle to keep from jumping until it's extinguished or firm voice and spray not to harsh – you don't want to hurt it.
Where would Pembroke spend the majority of the time:	With family – living in a large area – we would probably quarentine the stairs.
Discipline:	spray bottle to keep from jumping until it's extinguished or firm voice and spray not to harsh – you don't want to hurt it. Where would Pembroke spend the majority of the time: With family – living in a large area – we would probably quarentine the stairs.
House dog or outside dog?	House dog
People at home during the day?	Usually- we have one in college –
Where would dog eat?	In the kitchen probably where we do so he/she could be with us.
Where would dog sleep:	crate or pet bed …near us we would have a few areas for he/she to rest.
Play & exercise:	We generally take a walk every night rain or shine. We have a deck and back yard that would be adapted for him/her in case there were things that could hurt the pup.
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?	It is a fence that is 5' high and wooden
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:	We have a fenced in back yard – It's small but large enough for him/her to run around. There are no swimming pools – just rocks and concrete for now – we are fixing. I would ensure we get plants that are dog friendly.
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?	Corrine Ptacek
Willing to train children?	Yes –
Any allergies?	One or more family members might be allergic to dogs.
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?	We don't have any other pets
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: