Untitled_2116 - Lakeshore Pembroke Welsh Corgi Rescue

Date & Referral Source
State:		Date of Application:	11/25/2018	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	Gender preferred:	Either a Male or a Female	Color preferred:	Red & White, Sable & White	Activity level:	Couch Potato, Outgoing, Quiet, Playful, Energetic
Other preferences:	We have a 4 year old cat, however, she quickly became friends with our last dog.
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 (mom, dad and our daughter)
Why do you want a Pembroke?	We have done quite a bit of research and feel that this breed would be a great addition to our family! Our daughter has a friend who has a corgi and loves hearing stories about his dog. We enjoy energetic and active dogs since that is the lifestyle we lead.
Activities planned with Pembroke:	Play with him/her everyday and go for long walks in our neighborhood which has a wooded area that's perfect for exploring with our corgi. Also, go for car rides when running errands, etc…
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:	Depends on the mistake… there are a lot of different ways to handle unwanted behaviors. Most of the time distraction with a toy works or simply saying no and redirecting his/her behavior.
Discipline:	I would take our dog to obedience training and hopefully correct some bad habits the dog may have picked up along the way. We don't ever hit or spank a dog, just like we wouldn't do to a child. You have to teach him/her what is acceptable behavior.
Where would Pembroke spend the majority of the time:	In our house
Discipline:	I would take our dog to obedience training and hopefully correct some bad habits the dog may have picked up along the way. We don't ever hit or spank a dog, just like we wouldn't do to a child. You have to teach him/her what is acceptable behavior. Where would Pembroke spend the majority of the time: In our house
House dog or outside dog?	House dog
People at home during the day?	yes
Where would dog eat?	in the corner of our kitchen
Where would dog sleep:	on a dog bed
Play & exercise:	Going for long walks and plenty of dog toys and bones
How will you exercise your dog?	On leash
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:	Large wooded lot. We also used an invisible fence with our last dog with great success.
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?	Kristi
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: