Untitled_1909 - Lakeshore Pembroke Welsh Corgi Rescue

Date & Referral Source
State:		Date of Application:	07/03/2018	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	Gender preferred:	Female	Color preferred:	Any color	Activity level:	Quiet
Other preferences:	No aggression issues or anxiety issues. Also, health checked (diseases, parasites, etc)
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?	My family and our 4 year old neutered King Charles Cavalier Spaniel. We are looking for a younger spayed female to integrate into our household. Must be housebroken, socialized with other pets and all people, and have decent manners.
Why do you want a Pembroke?	We have researched the breed and excited about the possibility of finding a rescue female who will fit into our family. We provide a loving, active, and consistent environment for our King Charles. There is always a family member home at all times of the day, so he is very well tended to. We play outside, take walks, responsible car outings, and socialize him with other pets and people regularly.
Activities planned with Pembroke:	The above mentioned.
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:	Tell her no and remove her from the situation. Show her positive alternative and praise her.
Discipline:	Never physical or loud yelling. Firm verbal "No" with showing the appropriate action and praising. Maintaining an environment to encourage positive behavior. Also, keeping everyone in the family on the same page with expectations and consistent parenting.
Where would Pembroke spend the majority of the time:	On the main level of the house and outside playing. Once trustworthy, she would be allowed to roam upstairs.
Discipline:	Never physical or loud yelling. Firm verbal "No" with showing the appropriate action and praising. Maintaining an environment to encourage positive behavior. Also, keeping everyone in the family on the same page with expectations and consistent parenting. Where would Pembroke spend the majority of the time: On the main level of the house and outside playing. Once trustworthy, she would be allowed to roam upstairs.
House dog or outside dog?	House dog
People at home during the day?	Yes. I am a stay-at-home parent and occasionally work 2-3 hours a day at the schools.
Where would dog eat?	In our tiled sunroom with Oliver or they would eat in separate rooms if needed, main level of the house.
Where would dog sleep:	I crate trained my King Charles, so she would also be crate trained until I knew she could be sleeping in the house without causing troubles.
Play & exercise:	We are a very active family. Oliver loves to play with this toys and in the yard. We enjoy training our dog and socializing her into the 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?	I have an Invisible Fence the runs the perimeter of our 1.75 acre yard. I have a trainer who came out to train our King Charles and we live in a cul-de-sac in a quiet neighborhood with no main roads nearby.
Living arrangements:	Own home
Landlord info:
May we contact your landlord?
Lease allow dogs:
Landlord permission:
Restrictive covenants?	Not applicable
Breed/size restrictions?	Yes
Description of yard:	Large yard with fenced in in-ground pool area. Described previously.
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?	Dena Voto (me)
Willing to train children?	She already knows this.
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, I am willing. But, I am not interested in an aggressive or overly-anxious pet.
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: