Untitled_1939 - Lakeshore Pembroke Welsh Corgi Rescue

Date & Referral Source
State:		Date of Application:	07/21/2018	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, 3 years – 5 years	Gender preferred:	Either a Male or a Female	Color preferred:	Any color	Activity level:	Couch Potato, Outgoing, Quiet, Playful, Energetic
Other preferences:	We currently have a 12 year old Welsh Corgi, two cats, a 12 year old daughter half time and a 2 year old son.
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 is.
Why do you want a Pembroke?	I currently own a corgi. I have said since I was a kid that I would always have a corgi. With my girl daisy it has been an amazing 12 years. When she was little I took her to basic puppy training. She knows basic commands.
Activities planned with Pembroke:	Like with my girl Daisy when she was little we would go to the dog park, long walks, and hikes.
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:	Like with any animal tell them they did wrong and show them the right way. You can not stay mad at a Corgi.
Discipline:	I feel just saying no is enough. They get sad puppy dog eyes.
Where would Pembroke spend the majority of the time:	With me and my family.
Discipline:	I feel just saying no is enough. They get sad puppy dog eyes. Where would Pembroke spend the majority of the time: With me and my family.
House dog or outside dog?	House dog
People at home during the day?	I work days but my mother in law lives close by and would help to take the dog out before I get home from work. She loves my current Corgi and for sure would love another just as much.
Where would dog eat?	All my current animals eat Purina One Beyond. It has kept my 12 year old from getting repeated UTIs and she has lost weight and is active for a senior.
Where would dog sleep:	Well like I said before I am going to create train but hey i am not supposed to cuddling.
Play & exercise:	I have a very large fenced back yard but I also plan on long walks around the neighborhood and dog park visits.
How will you exercise your dog?	On leash
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 a hard that is completely fenced with chain link.
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:	We currently just have a garage and 3 trees in our fenced backyard. We are going to put up a swing set eventually but we have no plans for a big pool. Possibly a small kiddy pool but nothing alarming.
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?	Me and Tyler
Willing to train children?	Yes. We are working on this currently with our 2 year old. He loves to cuddle and hold things right now but this is something we are working on 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. I have a friend that works with a animal behaviorist and I am so willing if there are issues.
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: