Untitled_2100 - Lakeshore Pembroke Welsh Corgi Rescue

Date & Referral Source
State:		Date of Application:	11/15/2018	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:	3 years – 5 years, 5 years – 10 years	Gender preferred:	Either a Male or a 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?	Emmaleigh
Why do you want a Pembroke?	Emmaleigh- has always wanted a Corgi since she was little and now that she is 20 years old still loves the breed. the playfulness, the energy level, and their cute ears
Activities planned with Pembroke:	walk daily, obedience training if necessary play catch all around companion
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:	if caught in the act- affirm "no"
Discipline:	positive reinforcement with training treats and affection,
Where would Pembroke spend the majority of the time:	household during the day, with an appropriate crate size for when no one is home.
Discipline:	positive reinforcement with training treats and affection, Where would Pembroke spend the majority of the time: household during the day, with an appropriate crate size for when no one is home.
House dog or outside dog?	House dog
People at home during the day?	except during the school day, yes. and then when school is not in session there are 4 siblings ages 11-20, home throughout the day
Where would dog eat?	side of kitchen by mud room
Where would dog sleep:	once fully trained with Emmaleigh in her room
Play & exercise:	daily walks, playing catch in the 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?	Invisible Fence
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:	currently live in a 1 1/4 acre yard. there is a pool that is separately fenced off and has a security pool cover to prevent drownings
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?	Emmaleigh
Willing to train children?	yes, my children have always had dogs around them since the day they were born. can't imagine a household without kids and dogs
Any allergies?	One or more family members might be allergic to dogs.
Current pets:
Current pets dog friendly?
Are you willing to work on it if your new dog doesn’t get along with your current pets right away?	of course
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: