Untitled_1895 - Lakeshore Pembroke Welsh Corgi Rescue

Date & Referral Source
State:		Date of Application:	06/26/2018	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:	Male	Color preferred:	Red & White, Sable & White	Activity level:	Couch Potato, Outgoing, Quiet, Playful, Energetic, Very Active
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?	For my son, Lucas (age 15), and myself
Why do you want a Pembroke?	My sister has a corgi and my son and I have fallen in love with corgi's! We love the energy, playfulness, and alertness of corgi's plus their affection is just soul-warming.
Activities planned with Pembroke:	Being a family member, walking, playing, house training, brushing their fur, checking their health, taking on outings to meet and greet family pets and neighborhood friend pets, so much more 🙂
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:	Firmly and confidently state, "No!", then lead him to the door, take him outside, let him finish his business, then reward him for doing his duty outside. Clean up the mess really good. Repeat until they are trained to go outside.
Discipline:	Saying, "No!" loudly and firmly usually stops them, if more is needed then a timeout in it's pen or put them on it's leash outside for a few minutes, weather permitting. A spray bottle works too, unless they love water. Shaking a pill bottle near them definitely stops bad behavior.
Where would Pembroke spend the majority of the time:	With my son and I at home, or in the car on the road with us wherever we go.
Discipline:	Saying, "No!" loudly and firmly usually stops them, if more is needed then a timeout in it's pen or put them on it's leash outside for a few minutes, weather permitting. A spray bottle works too, unless they love water. Shaking a pill bottle near them definitely stops bad behavior. Where would Pembroke spend the majority of the time: With my son and I at home, or in the car on the road with us wherever we go.
House dog or outside dog?	House dog
People at home during the day?	Yes
Where would dog eat?	In the kitchen
Where would dog sleep:	In my son's room
Play & exercise:	It will be spontaneous, but we will also give him structured walks and runs, plus toys to strengthen his teeth and muscles.
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:	Big empty yard, garage, house with deck
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?	Both
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?	Not applicable
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: