Untitled_1912 - Lakeshore Pembroke Welsh Corgi Rescue

Date & Referral Source
State:		Date of Application:	07/04/2018	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:	Female	Color preferred:	Any color	Activity level:	Couch Potato, Quiet, Playful
Other preferences:	A dog that is okay with children around.
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 nice dog for ourselves. I live with my 9 year old daughter and we would much prefer to rescue and animal. We had daschunds in the past and loved having a pet. It’s time to have a pet again as she’s getting old enough to help out with the daily routine of taking care of a friend.
Why do you want a Pembroke?	They are an interesting breed and seem to be very friendly. A dog that enjoys taking walks and being outdoors and is able to handle a cold climate is important. And they are adorable looking dogs too.
Activities planned with Pembroke:	Walks Parks Outdoor Cuddles
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:	Clean up the mess, see what we did wrong and fix it.
Discipline:	Positive reinforcement
Where would Pembroke spend the majority of the time:	Inside our house during the day when we’re at work or school. Then, outside to play when we get home.
Discipline:	Positive reinforcement Where would Pembroke spend the majority of the time: Inside our house during the day when we’re at work or school. Then, outside to play when we get home.
House dog or outside dog?	House dog
People at home during the day?	Yes, I work from home and am home most of the days.
Where would dog eat?	In the mud room, there is a place for a dog in there.
Where would dog sleep:	In a crate in my daughter’s bedroom.
Play & exercise:	Outside every day after school, for a walk first thing in the morning and weekends for long walks at a local park nearby.
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:	It’s city lot of almost an acre, but there is no fence. We don’t have a place for a fenced yard. However, we plan to keep the dog leashed when on a walk and will take them to off leash dog parks for off leash activities. It would depend on the dog’s temperament if we would actually do dog parks, some don’t handle them well. We have no pool in the back yard.
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?	Ashima
Willing to train children?	Yes. It would be such a great experience for her.
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?	We have no pets currently.
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: