Untitled_1926 - Lakeshore Pembroke Welsh Corgi Rescue

Date & Referral Source
State:		Date of Application:	07/12/2018	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:	Male	Color preferred:	Any color	Activity level:	Couch Potato, Outgoing, Playful, Energetic
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?	Our family. So whitney,Amanda and our 6 year old daughter
Why do you want a Pembroke?	When I lived at home we had a lab and after he died my mom ended up with 2 Welsh corgis and the breed is amazing. I bought a lab after our family plan passed and now I want to add a corgi to the family….they are truly amazing dogs.
Activities planned with Pembroke:	Walk,fetch,doggie daycare, cuddle and take to the nursing home if he seems ok with that
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:	Depends on the mistake but like a potty accident say no and set them outside to go potty
Discipline:	Saying no, making a time out spot that's not associated with good times, maybe prodessional training if need be
Where would Pembroke spend the majority of the time:	Inside with the family or wherever we go
Discipline:	Saying no, making a time out spot that's not associated with good times, maybe prodessional training if need be Where would Pembroke spend the majority of the time: Inside with the family or wherever we go
House dog or outside dog?	House dog
People at home during the day?	Yes
Where would dog eat?	Out of a dog dish in the kitchen
Where would dog sleep:	Mutiple dog beds would be placed in different rooms and he can decide or the couch if he prefers
Play & exercise:	I have a fenced in yard with lots of toys, if he likes water then we do water activities also, walking, running, playtime with his brother junior the lab
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?	Chained linked 4 foot 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:	Decent size with a play house and a shed
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?	Whitney
Willing to train children?	Yes she is well informed already
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: