Untitled_2056 - Lakeshore Pembroke Welsh Corgi Rescue

Date & Referral Source
State:		Date of Application:	10/11/2018	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:	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 had a pwc in college and he was an absolute delight. He was intelligent, stubborn and had a wonderful personality. My husband and I lost our first family dog in December. We are ready to become a two dog household again. The pwb is a good compromise for us as I would like a smaller dog and he doesn’t want a purse dog.
Activities planned with Pembroke:	We would go on frequent walks, we go to fun outdoor activities such as barktober fest. We usually take our dogs with us to all family functions as they are a big part of our family.
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:	We a firm deep voice or say uh-uh, depending on the mistake. We usually try and reward the good behavior.
Discipline:	Firm voice, we’ve also used water squirt bottles
Where would Pembroke spend the majority of the time:	With us at home.
Discipline:	Firm voice, we’ve also used water squirt bottles Where would Pembroke spend the majority of the time: With us at home.
House dog or outside dog?	House dog
People at home during the day?	Yes, my husband works 3rd shift and I work 1st shift so someone is almost always home.
Where would dog eat?	We crate train our dogs so they the crate is their safe place. We will separate the dogs into separate rooms during feeding time.
Where would dog sleep:	With us in the bed.
Play & exercise:	The corgi will have plenty of time to play as he/she will be with another dog all the time. We have play time everyday with our current dog when I get home from work.
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?	It is a wood fence that is 6 feet tall on the east and west side of property. The south end is 4 feet tall.
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:	Our yard is about 25 yards by 30 yards
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?	Lisa Vinopal
Willing to train children?	Yes
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: