Untitled_2163 - Lakeshore Pembroke Welsh Corgi Rescue

Date & Referral Source
State:		Date of Application:	12/26/2018	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:	1 year – 3 years, 3 years – 5 years, Any age	Gender preferred:	Either a Male or a Female	Color preferred:	Any color	Activity level:	Outgoing, Playful, Other (Please describe in the box below.)
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?	Us.
Why do you want a Pembroke?	We have been in love with Corgis for many years. When we adopted Pumpkin from a rescue in Georgia, we had no idea she was had Corgi in her genes. She is smart, funny, and loves her scritches (back scratches). I started seriously researching adopting a Corgi about 3 years ago. We only adopt rescues, never buy a pet. We want another dog to be a part of our family. Pumpkin could use a buddy & she loves dogs her size or smaller.
Activities planned with Pembroke:	Go for walks, go on adventures in the car (but never leave in the car!), take trips together, and occasionally nap together.
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:	Has an accident on the floor? Clean it up & take him or her outside for some playtime & extra potty time.
Discipline:	Talk to her, tell her it was naughty to cleft in the garbage (relocates the garbage can), and redirect into another room.
Where would Pembroke spend the majority of the time:	Throughout our entire house. Sleep in add/large crate at night.
Discipline:	Talk to her, tell her it was naughty to cleft in the garbage (relocates the garbage can), and redirect into another room. Where would Pembroke spend the majority of the time: Throughout our entire house. Sleep in add/large crate at night.
House dog or outside dog?	House dog
People at home during the day?	Yes, my husband Tracy.
Where would dog eat?	In our dining nook.
Where would dog sleep:	Ina med/large crate which is in the dining room.
Play & exercise:	We’ll play ball, go walking, go exploring out in the wooded area of our back yard & also hopefully group play w/ our dog, Pumpkin.
How will you exercise your dog?	On leash
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?	It’s a fence about 4.5 feet high.
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 swimming pool or hot tub. Just a good-sized back 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?	Me – Mary
Willing to train children?	Yes. We already do.
Any allergies?	No one is allergic.
Current pets:
Current pets dog friendly?	No, some of our current pets are not friendly toward dogs
Are you willing to work on it if your new dog doesn’t get along with your current pets right away?	Apple – the rescue cat hates everyone & stays clear of all animals.
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: