Untitled_2197 - Lakeshore Pembroke Welsh Corgi Rescue

Date & Referral Source
State:		Date of Application:	01/20/2019	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:	1 year – 3 years	Gender preferred:	Male	Color preferred:	Any color	Activity level:	Outgoing, 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 significant. We had a Pembroke for 11 years, lost him to lymphoma One and a half years ago. I have also trained numerous corgis over the years. Fell in love with their personality.
Why do you want a Pembroke?	I have been training dogs for 30 yrs. Have always been drawn to the Corgi breed because of their spunk and great personality. Finally got a puppy from a local breeder. Lost him to lymphoma at 11 yrs. Was thinking about a puppy and then decided to see if adoption was a possibility.
Activities planned with Pembroke:	Everything!! I have the advantage of being able to take my dogs to work everyday, as I own a daycare, training and grooming business. We do basic obedience through positive reinforcement, advance training and agility.
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:	Redirect him/her to the proper behavior and supervise them more closely.
Discipline:	Verbal, if anything. As above, redirect to the proper behavior.
Where would Pembroke spend the majority of the time:	With me
Discipline:	Verbal, if anything. As above, redirect to the proper behavior. Where would Pembroke spend the majority of the time: With me
House dog or outside dog?	House dog
People at home during the day?	Not always. I work 4 days a week, 5 hours a day. My dogs go to work with me.
Where would dog eat?	At first, probably in a crate. After they’re acclimated, in the kitchen.
Where would dog sleep:	In my room with me and his “brother and sister”.
Play & exercise:	I own a horse, so I have access to acres to run, restrained and supervised, at first, of course, until they’re trained. I also walk them in the neighborhood.
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?	I have 5ft. Privacy 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:	I have a fairly large yard enclosed by privacy fence. No swimming pool (I wish)!
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?	Sue
Willing to train children?	Not applicable
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, it’s what I do professionally
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: