Untitled_2203 - Lakeshore Pembroke Welsh Corgi Rescue

Date & Referral Source
State:		Date of Application:	01/24/2019	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	Gender preferred:	Female	Color preferred:	Any color	Activity level:	Quiet, Playful
Other preferences:	Good with other dogs
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?	For Rose and Grayson Gajewski
Why do you want a Pembroke?	We have read many articles on Pembroke Corgis. They have the same traits as a chow chow. Because of its size it is very similar to what we have. We feel they would be great together.
Activities planned with Pembroke:	We go for walks with Suki 2-3 times a day. We bought our house 2 1/2 years ago and put up a fence. We go outside and play with Suki so she can run freely. We go on many car rides and to the pet stores to look for new toys 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:	Clean it up…whatever it is. Never make the dog feel bad for having an accident. Then help them get outside or clean them up.
Discipline:	We are stern in our voice but never ever hit.
Where would Pembroke spend the majority of the time:	Always with the family. In the house. We don't use crates. So, at bedtime it is in our bedroom with us. Suki has free rain to go where she wants in the house. We are always together as I am a stay at home person.
Discipline:	We are stern in our voice but never ever hit. Where would Pembroke spend the majority of the time: Always with the family. In the house. We don't use crates. So, at bedtime it is in our bedroom with us. Suki has free rain to go where she wants in the house. We are always together as I am a stay at home person.
House dog or outside dog?	House dog
People at home during the day?	Yes, I am a stay at home person.
Where would dog eat?	We have food dishes in our kitchen for Suki so that is where the Corgi would eat as well.
Where would dog sleep:	In our bedroom as does our other dog.
Play & exercise:	We have a fenced in back yard for the dogs to run in. I also walk Suki 2-3 times everyday. In the summer months we are outside a lot in the backyard with a lot of toys.
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?	It was installed by a fence professional. Board on board. 6 foot high and to the ground. Attached to the house on both sides with a gate.
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 fenced in back yard. The front and sides are available for us to leash a dog but we prefer the freedom of the backyard. No swimming pools. Patio slab. Since we had our house built 2 1/2 years ago – we are still with just grass in the backyard – no trees or bushes yet.
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?	Rose
Willing to train children?	We have no children. Nieces and nephews are 18 and older. No little kids around any longer.
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. Everything takes time.
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: