Untitled_1941 - Lakeshore Pembroke Welsh Corgi Rescue

Date & Referral Source
State:		Date of Application:	07/22/2018	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	Gender preferred:	Either a Male or a Female	Color preferred:	Any color	Activity level:	Couch Potato, Outgoing, Quiet, Playful, Energetic, Very Active
Other preferences:	we have a female puppy in obedience/service/SAR training the next 2 yrs.
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?	my family
Why do you want a Pembroke?	i started & worked a dog walking service..we had many corgi's as clients & many in our neighborhood (St. Bens) we have several corgis in our extended family (cousins) and my husband has always loved & wanted a corgi..we've looked for years to adopt but most recently denied adoption through pet finder as the young female corgi required an older dog in the home (not our puppy)
Activities planned with Pembroke:	my husband works from home, and is a homebody…i love camping & keep active traveling to WI, MI, MO and gardening in the back yard.
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:	my home is already "puppy proofed"..corection & basic training..do you mean housebroken? plan to do this on walks & right now pup will have a specific area in back & front yard.
Discipline:	w/ patience, correct behavior, redirect behavior..continue training,
Where would Pembroke spend the majority of the time:	our home, back yard, car & country/woods/lake home.
Discipline:	w/ patience, correct behavior, redirect behavior..continue training, Where would Pembroke spend the majority of the time: our home, back yard, car & country/woods/lake home.
House dog or outside dog?	House dog
People at home during the day?	my husband works from home..he's only gone down town to work 4 times this year, i work 2 to 3 12-16 hour shifts weekly, but am taking off work entirely until late september to train/bond w/ our pup (Nola)
Where would dog eat?	kitchen
Where would dog sleep:	dog bed, crate, dog bed in her crate..whatever they prefer..my puppy is presently crate trained.
Play & exercise:	back yard, walking in the neighborhood, i camp at least on average monthly or more from april-october (devils lake) & hike more often in closer parks (rock cut, starved rock)
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?	south & west fence are solid wood plank 6 ft…east fence is solid wood plank 4 ft..gate to sidewalk & front of the house is on the east side of the house, metal chain link 4 ft. fence, gate to alley is solid wood plank 6 ft.
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:	completely fenced in by 6 foot wood staggered/plank fence on the west (the 4 chihuahuas next door can't fit through)…same type of fence to the east, but only 4 foot (2 beagles next door)…the back gate is on the south side of the house, same 6 foot wood, the garage attached to the wood gate & covers the remaining back yard..our house is the barrier to the north of the yard w/ a chain link 4 ft. gate to east side of our house, to front yard…front yard is unfenced at this time..but we do have an open front porch w/ temp. dog gate when we hang out on the swing (solid wood 3 ft. solid wood walled & wood plant floor on front deck.
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 (laura)
Willing to train children?	we have no kids, but do have nephews (16, 4 & 3) and one niece (3).
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: