Untitled_2222 - Lakeshore Pembroke Welsh Corgi Rescue

Date & Referral Source
State:		Date of Application:	02/06/2019	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, 3 years – 5 years	Gender preferred:	Male	Color preferred:	Any color	Activity level:	Outgoing, Quiet, Playful, Energetic
Other preferences:	Neutered
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?	This would be a family member for the both of us
Why do you want a Pembroke?	We have been doing lots of research on breeds to find a family member to match our temperaments, household style, activity level, commitment to care and involvement. We love the size, as we don't want a really small breed, but we don't want a large breed either, We are moderately active and walk 3-5 miles daily and love to be outdoors. We have a single family home and a nice sized lot in town. We also like the playful and trainable temperament aspect of the breed, as well as the fact this breed would be just as comfortable curling up between us on the couch on a cold Minnesota winter day.
Activities planned with Pembroke:	We will take him for walks and play in the yard, as well as take him on day trips and camping. Fetch is definitely on the agenda as well as a good tug-of-war. We like to garden and bike ride and would always take him with us.
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:	Show him how we want him to handle or do something and reinforce the behavior with praise and special time
Discipline:	NO yelling. When he displays negative behavior, show him how we want him to act and praise that behavior. All dogs need to have an alpha figure to follow. They will try to please that alpha and follow by praised behavior.
Where would Pembroke spend the majority of the time:	In our home with us.
Discipline:	NO yelling. When he displays negative behavior, show him how we want him to act and praise that behavior. All dogs need to have an alpha figure to follow. They will try to please that alpha and follow by praised behavior. Where would Pembroke spend the majority of the time: In our home with us.
House dog or outside dog?	House dog
People at home during the day?	We both work full time, but I come home daily for lunch.
Where would dog eat?	In the kitchen/dining area on a doggie mat for his own bowls
Where would dog sleep:	In a doggie bed on the floor of our bedroom
Play & exercise:	Outside play time at least twice a day.
How will you exercise your dog?	Both on leash and restrained to the yard
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:	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 live in a single family home in town with a patio, sizable lot and no pool.
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?	Jackie Braun and Matt Butala
Willing to train children?	We don't have children in the home, but we have grown children and a few grandchildren that already have dogs in their homes
Any allergies?	No one is allergic.
Current pets:
Current pets dog friendly?
Are you willing to work on it if your new dog doesn’t get along with your current pets right away?	Not applicable
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: