Untitled_2109 - Lakeshore Pembroke Welsh Corgi Rescue

Date & Referral Source
State:		Date of Application:	11/18/2018	Referred by:	Website, 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:	0 months – 1 year (we rarely get dogs in this age group), 1 year – 3 years, 3 years – 5 years	Gender preferred:	Male	Color preferred:	Red & White	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?	Myself
Why do you want a Pembroke?	I grew up with family members that had two Pembroke Welsh Corgis. They have been my favorite dog ever since. Every time I see one, I get very excited and happy. I love their personalities and the way they look. I have done a ton of research on them.
Activities planned with Pembroke:	I live next door to a mile long track and by many open fields. I also live next door to a dog park which I could see us using frequently.
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:	Calmly, but assertively. I believe if the dog hears the word "no" enough, he will realize that it is not okay. I am not violent towards animals, nor would I ever be. Just like humans, dogs make mistakes.
Discipline:	I have learned with my previous dog that using "no" a lot works very well. I have friends that are dog trainers and plan to take him to courses to train if he is not well disciplined.
Where would Pembroke spend the majority of the time:	Both outside and on walks. I would spend majority of my day with him. I would like to see how he would interact with other dogs, but understand if he is not friendly with other dogs.
Discipline:	I have learned with my previous dog that using "no" a lot works very well. I have friends that are dog trainers and plan to take him to courses to train if he is not well disciplined. Where would Pembroke spend the majority of the time: Both outside and on walks. I would spend majority of my day with him. I would like to see how he would interact with other dogs, but understand if he is not friendly with other dogs.
House dog or outside dog?	House dog
People at home during the day?	Yes, every single day.
Where would dog eat?	In the kitchen with us, but would not be allowed human food.
Where would dog sleep:	Preferably in my bed, but I would buy a bed for him to sleep in as well.
Play & exercise:	I will make sure he exercises every single day. I will walk him every day around the block and when it is warmer, take him around the trail. I will play fetch with him as well and see what other games he is interested in.
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 home
Landlord info:
May we contact your landlord?
Lease allow dogs:
Landlord permission:
Restrictive covenants?	Not applicable
Breed/size restrictions?	No
Description of yard:	We have a nice sized yard with a patio. There are no swimming pools and we do not use any chemicals on the lawn so that the dog could get sick.
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
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: