Untitled_1923 - Lakeshore Pembroke Welsh Corgi Rescue

Date & Referral Source
State:		Date of Application:	07/10/2018	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:	Any age	Gender preferred:	Either a Male or a Female	Color preferred:	Any color	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?	This Pembroke is for our family! We had a WONDERFUl Pembroke Corgi who died four years ago. He was our family dog for 11 years. We miss him very much!
Why do you want a Pembroke?	I love Welsh Corgis. I absolutely love their devotion to their family as well as their unique quirkiness. Since my Welsh Corgi died four years ago I have not been able to let go of my desire to have another Corgi. We have so many wonderful memories from our first Corgi. My youngest children(triplets) who are in college miss having a Corgi as well.
Activities planned with Pembroke:	First and foremost I am looking forward to snuggling up with my Corgi. I would also love to take my Corgi in our large yard and spend time with him. I would also love to walk our Corgi. I spent many hours walking our first Corgi (Ollie).
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:	If a Pembroke makes a mistake I would wait until my Pembroke does it correctly (going to the bathroom outside) and then praise him or her and give him a treat.
Discipline:	I will use a serious voice to discipline my Corgi.
Where would Pembroke spend the majority of the time:	My Pembroke would spend most of his or her time with us in our home snuggling up to myself and my family.
Discipline:	I will use a serious voice to discipline my Corgi. Where would Pembroke spend the majority of the time: My Pembroke would spend most of his or her time with us in our home snuggling up to myself and my family.
House dog or outside dog?	House dog
People at home during the day?	Yes, my husband and I have different work hours.
Where would dog eat?	Our Corgi would eat in the kitchen .
Where would dog sleep:	My Corgi would sleep in my room or in the family room.
Play & exercise:	I will walk my Corgi at least 5 days a week. I have a large yard where my Corgi can run and play.
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?	My fence surrounds my entire backyard. My fence is metal and at least 4 feet high.
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:	I do not have a swimming pool. I have a large fenced in yard with green grass and trees.
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?	Jennifer L Valiquette
Willing to train children?	I am definitely willing to take the time to teach my children how to take care of our Corgi.
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?	I will do everything to help my Corgi get along with the other dogs. I will even attend dog training classes if I need to. My two dogs are extremely friendly and welcoming. I believe the dogs will be good friends.
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: