Untitled_2071 - Lakeshore Pembroke Welsh Corgi Rescue

Date & Referral Source
State:		Date of Application:	10/26/2018	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:	Either a Male or a Female	Color preferred:	Any color	Activity level:	Couch Potato, Outgoing, Quiet, 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?	Myself and my kids 🙂
Why do you want a Pembroke?	Lots of Corgis in the horse world! I have multiple friends with them, They are smart and have funny unique personalities.
Activities planned with Pembroke:	I live on a farm, the dog can play ball or run with my kids. They are old enough to take him/her to obedience classes. I work outside all day, and the dog would possibly go to horse shows with me as well. Or the dog can chill out in the house too.. watch tv with us 🙂
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:	Depends on what the mistake is. Continue to teach the dog what to do.
Discipline:	Might use a sharp no. Otherwise I’m a BIG believer in pos reinforcement.
Where would Pembroke spend the majority of the time:	Mostly with me (I work at home/farm) Crate. House.
Discipline:	Might use a sharp no. Otherwise I’m a BIG believer in pos reinforcement. Where would Pembroke spend the majority of the time: Mostly with me (I work at home/farm) Crate. House.
House dog or outside dog?	House dog
People at home during the day?	Me!
Where would dog eat?	Kitchen
Where would dog sleep:	Bedrooms with us. If the dog requires a crate the we will do that.
Play & exercise:	I think I answered this already. Obviously will get more than enough time.
How will you exercise your dog?	Both on leash and restrained to the yard
Fenced yard?	No, I don’t have a fenced in yard.
Willing to pick up dog waste?	Yes, I will clean up after my dog.
Willing to use a crate?
Living arrangements:	Own horse farm
Landlord info:
May we contact your landlord?
Lease allow dogs:
Landlord permission:
Restrictive covenants?	Not applicable
Breed/size restrictions?	No
Description of yard:	Trees. Pasture fencing.
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?	Mainly myself, also kids.
Willing to train children?	They are already better than many adults 🙂 but 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?	My cat is indoor/outdoor. The dog will need to get a long with other dogs and not chase cats.
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: