Untitled_2050 - Lakeshore Pembroke Welsh Corgi Rescue

Date & Referral Source
State:		Date of Application:	10/07/2018	Referred by:	Friend
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:	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?	Our family
Why do you want a Pembroke?	I have always loved the breed having grown up with 2 different pembroke welsh corgis. They are so intelligent and clever and have so much big dog in a smaller dog body.
Activities planned with Pembroke:	Any dog we adopt becomes a cherished member of the family and will be part of any and all activities possible. I enjoy long walks, hiking, and running and would bring the corgi along as often as possible. The corgi would also be part of just hanging out with the family whether we are watching tv and relaxing or doing something outside.
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:	Positive reinforcement training
Discipline:	Positive reinforcement training
Where would Pembroke spend the majority of the time:	The Pembroke would be with our family all of the time. I work from home and am pretty much always around so it would be rare for the dog to have to go more than an hour or two alone.
Discipline:	Positive reinforcement training Where would Pembroke spend the majority of the time: The Pembroke would be with our family all of the time. I work from home and am pretty much always around so it would be rare for the dog to have to go more than an hour or two alone.
House dog or outside dog?	House dog
People at home during the day?	Yes I work from home
Where would dog eat?	Our front room downstairs which is next to our family dining area/kitchen
Where would dog sleep:	In our room
Play & exercise:	We have a fenced in yard so there's plenty of opportunity during the day for a corgi to wander around outside. We also have a newly adopted 1 year old Siberian Husky so they would be able to play with each other. I take Mishka (our husky) to the dog park nearly every day and we also go on 1-2 walks a day as well so the corgi would come along for these activities.
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?	4.5 foot wooden fence fully surrounding our backyard
Living arrangements:	Rent/lease home
Landlord info:
May we contact your landlord?	Yes, you may contact my landlord.
Lease allow dogs:	Yes, my lease permits dogs.
Landlord permission:	Yes, my landlord is fine with me owning a Pembroke
Restrictive covenants?	Not applicable
Breed/size restrictions?	No
Description of yard:	We have a back porch that has 4 stairs down to a grassy backyard with plenty of shade and sunshine
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?	Amy Belcher
Willing to train children?	We don't currently have children but may have some in the next few years–we would obviously take the time to teach any child how to be kind to animals. Growing up with corgis, I know what great family dogs they are.
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?	Definitely-Mishka is extremely friendly and gets along great with all other dogs she has encountered at the dog (including other corgis we have met). I feel confident we could work through any issues that could arise.
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: