Untitled_1915 - Lakeshore Pembroke Welsh Corgi Rescue

Date & Referral Source
State:		Date of Application:	07/07/2018	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:	Red & White, Red Headed Tri, 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 the family
Why do you want a Pembroke?	I have wanted a Corgi my whole life. I love how cute they are and how playful they are. I love that they are a smaller dog which is what I am looking for. I have been trying to find one in a shelter because I believe that adopting a dog is better than buying from a breeder or pet store. They aren’t an easy breed to find at shelters.
Activities planned with Pembroke:	I have a fenced in yard so the dog would be able to run free. Also we like to take walks. I work from home so the dog would not be left alone at home a lot.
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:	Most mistakes dogs make are caused by human error. If the dog chews on shoes, the best thing to do is tell the dog no but also make sure the shoes are not left out to be chewed. If the dog steals food, then it could have been caused by one of the kids leaving it out.
Discipline:	Dogs need to be trained. The best thing to do is tell them no and remove them from the environment. It may take multiple times of teaching them something but using positive reinforcement is the best method. Treats for good behaviors always produce positive results.
Where would Pembroke spend the majority of the time:	In the house. I work from home and I am home all day.
Discipline:	Dogs need to be trained. The best thing to do is tell them no and remove them from the environment. It may take multiple times of teaching them something but using positive reinforcement is the best method. Treats for good behaviors always produce positive results. Where would Pembroke spend the majority of the time: In the house. I work from home and I am home all day.
House dog or outside dog?	House dog
People at home during the day?	Yes. I am here all day.
Where would dog eat?	We would feed the dog in the kitchen
Where would dog sleep:	I would have a dog bed available for the dog. I prefer not to use a kennel as my current dog does not have one,
Play & exercise:	I have a fenced yard. Also I have 2 kids that love to run around with the dog. We have plenty of dog toys. Also walks at night during the summer months are great.
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?	Metal chain fence
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:	The yard is open. Just a patio with some furniture
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?	Cheryl
Willing to train children?	Yes. We currently have a boxer mix and the kids are good with him.
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
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: