Full Name (last, first) Rent/Own
Age
Address -City,State,Zip
Home Phone & Work Phone
e-mail
Members of your family. Please list names and ages of those who will come in contact with your dog daily.
1. I have owned a dog before 
I have owned a corgi before
2.The last time since I had a dog was…
What happened to that dog
3. My dog needs to get along with my other dogs
( Please list names, genders, ages and breeds of YOUR current dogs as well as if they are spayed/neutered)
4. My dogs need to get along with..
5. My dog will be primarily be…
6. How many hours will your dog spend outside a day
7. My dogs need to be able to be alone…..
8. When I am not at home my dog will spend its time…
9. I want a guard dog
10. I want a dog to hunt or herd with me
11. I want my dog to be very enthusiastic in the way that he/she shows love to people
12. I want my dog to be playful or laid back
13. I will exercise my dog by
14. When I am home I want my dog to be by my side
15. I am comfortable doing some training with my dog to improve behaviors such as
jumping, stealing food, and pulling when on a leash
16. I ( or my children) want to compete in agility, obedience, or flyball
17. I want the age of my dog to be..
18. I am willing to adopt a dog with special needs ( medical or behavior)
19. How much do you think you will spend Yearly for the care of your dog?
This includes toys, food, medical etc....
20. Do you have a fenced yard? type of fencing
21. I plan to exercise my dog?
22. If your dog needed extensive veterinary treatment ($1500 to $2500) by either borrowing the money interest free for a year would you have the treatment done or would you euthanize the animal?
23. What dog are you interested and what qualities and color and sex do you prefer?
24. Please list two references which would have good knowledge of your responsible dog
ownership. They may include: dog trainers, Corgi owners who you know, your friends, neighbors, other dog owners. Please provide name, address, phone number and relationship. Please include a veterinarian.
25. What type of dog food do you feed? How much do you feed?
Please make sure to fill out all fields as we can not make a decision if this is not completed.
We do ship out of state if the surrounding rescues can not help you. We charge you for the flight there, adoption fee, and Flight back if something does not work out. Please consider this when wanting a dog out of state. We can put you in contact with your state rescue. Adoptions done out of state can be very time consuming so please keep that in mind if you chose to proceed.
