Untitled_2092 - Lakeshore Pembroke Welsh Corgi Rescue

Date & Referral Source
State:		Date of Application:	11/12/2018	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:	Outgoing, 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?	myself
Why do you want a Pembroke?	I love the sweet, fun and affectionate personality. Years ago when my children were little I owned a Corgi and fell in love then with the breed. I had that Corgi until she passed away at age 13. I currently have a 1 1/2 year old female Corgi.
Activities planned with Pembroke:	We are avid campers and spend a lot of time outdoors. We have a pontoon and spend time swimming and camping all summer. I am currently researching on training for agility.
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:	For potty training I would put the puppy or dog where I want them to use the bathroom, repetition and frequently putting them outside so they learn where to go.
Discipline:	Distraction from what they are doing wrong, make a loud noise to get their attention from what they are doing.
Where would Pembroke spend the majority of the time:	In our home with us or up north in the summer. We both are nurses and work opposite shifts so their is always someone home.
Discipline:	Distraction from what they are doing wrong, make a loud noise to get their attention from what they are doing. Where would Pembroke spend the majority of the time: In our home with us or up north in the summer. We both are nurses and work opposite shifts so their is always someone home.
House dog or outside dog?	House dog
People at home during the day?	Yes
Where would dog eat?	Eagle Brand for small breeds
Where would dog sleep:	Most likely in our room, we have dog bed in there now for our Stella
Play & exercise:	I walk usually every day in my neighborhood, we also have a large enclosed back yard
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?	High privacy fence with no gate, we access our yard from our back door
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:	No pools, just a big enclosed yard
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?	myself
Willing to train children?	yes, I do have grandchildren who visit often
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: