Untitled_2212 - Lakeshore Pembroke Welsh Corgi Rescue

Date & Referral Source
State:		Date of Application:	01/31/2019	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:	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:	Any color	Activity level:	Outgoing, Playful, Energetic
Other preferences:	We do have a cat so we need a dog that gets along with cats.
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?	My family
Why do you want a Pembroke?	My family loves the breed. We owned a pembroke for 13 years but sadly she passed over the rainbow bridge at christmas time 2018. We love the playful, energy or the pembroke welsh corgi.
Activities planned with Pembroke:	I have 2 kids ages 7 and 12. We would go on walks, play ball, go to dog parks, and friends who have dogs too. We have a nice walking path by our house and a dog friendly park near by where we would go for walks too.
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:	In a firm voice say NO then redirect the behavior to an act we prefer.
Discipline:	Positive reinforcement with firm voice commands of NO and redirection in times of misbehavior.
Where would Pembroke spend the majority of the time:	In our house
Discipline:	Positive reinforcement with firm voice commands of NO and redirection in times of misbehavior. 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?	Most of the time. We we are not home we will kennel the dog. If we are gone for long periods of time we do have a neighbor with a key that will come and spend time with the dog and take him/her for a walk and play.
Where would dog eat?	In a designated area of our house near the kitchen.
Where would dog sleep:	Probably in a kennel at first, until we can learn to trust the dog. Then probably with our son in his bedroom or in our bedroom.
Play & exercise:	We have walking paths by our house, plus a nice dog friendly park near by as well. We also have friends with dogs we can socialize with too. He/she will get daily play and exercise
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:	townhome
Landlord info:
May we contact your landlord?
Lease allow dogs:
Landlord permission:
Restrictive covenants?	Not applicable
Breed/size restrictions?	No
Description of yard:	We live in a townhome with a large common area and nice walking paths. We also live close to a park that is friendly toward dogs. Because we can not have a fence we will have a long 20 ft tether leash for outside, but the dog will never be outside without someone with someone to supervise.
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?	Jessica Folsom
Willing to train children?	Yes, my have been around dogs and cats their whole life and know how to humanely treat animals.
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: