Untitled_2145 - Lakeshore Pembroke Welsh Corgi Rescue

Date & Referral Source
State:		Date of Application:	12/12/2018	Referred by:	Other
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:	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 Boyfriend, Lawrence
Why do you want a Pembroke?	We absolutely love corgi's. We had my dear girl, Lottie, for 2 years before a tragic accident delivered a ticket to the rainbow bridge. We love that they are companions, and that their size makes them perfect for me. We cannot have larger dogs because of my living, and Corgi's are the perfect size for us. We loved taking Lottie everywhere with us, and loved that she wanted to be near us at all times.
Activities planned with Pembroke:	We go camping, on walks, vacations, training, and visiting family. We also enjoy snuggling and hanging out in the house or at the park.
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:	We would immediately try to correct the mistake with positive reinforcement.
Discipline:	Positive reinforcement with treats and desired toys.
Where would Pembroke spend the majority of the time:	With us around the house or on errands or where ever we can take them.
Discipline:	Positive reinforcement with treats and desired toys. Where would Pembroke spend the majority of the time: With us around the house or on errands or where ever we can take them.
House dog or outside dog?	House dog
People at home during the day?	Sometimes, I work in education, so I am home earlier than most people, I also have breaks for holidays.
Where would dog eat?	We typically set food out in the kitchen.
Where would dog sleep:	With us, or where ever they want.
Play & exercise:	Every day, and as often as we can.
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:	Living with boyfriends widowed mother.
Landlord info:
May we contact your landlord?
Lease allow dogs:
Landlord permission:
Restrictive covenants?	Not applicable
Breed/size restrictions?	No
Description of yard:	The yard is open, and we will have them on a leash always.
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?	Shelby
Willing to train children?	Our goal for our future children is to have them love and care for animals as we do, with love, respect, and compassion for every animal.
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?	Of course. We have had to introduce pets before. When Lottie met Diana, we kept them in different rooms and switched towels to get them used to each other.
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: