Untitled_1486 - Lakeshore Pembroke Welsh Corgi Rescue

Date & Referral Source
State:		Date of Application:	11/04/2017	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:	Either a Male or a Female	Color preferred:	Any color	Activity level:	Couch Potato, Outgoing, Quiet, Playful, Energetic
Other preferences:
Dog Ownership History
Previous dog owner?	No
	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?	Both of us!
Why do you want a Pembroke?	We think they're really cute, and upon doing more research about the breed we found it would be a good match for both our current and future lifestyle. A corgi would be happy in an apartment or small townhouse and will also be comfortable around the kids we'll have in the future. We have regular had our cousin's dog stay at our apartment when they go out of town.
Activities planned with Pembroke:	Keeping us company on all the walks we like to take, and plenty of fetch
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?	No
Vet contact info:
Will handle mistakes Pembroke makes like this:	A strong no or bad dog
Discipline:	Positive reinforcement, when Sam was a kid it was the method of discipline her family used with their dogs and it worked very well
Where would Pembroke spend the majority of the time:	Our home
Discipline:	Positive reinforcement, when Sam was a kid it was the method of discipline her family used with their dogs and it worked very well Where would Pembroke spend the majority of the time: Our home
House dog or outside dog?	House dog
People at home during the day?	Not during the workday, but on the weekends we're home
Where would dog eat?	the kitchen
Where would dog sleep:	We'd see where he or she gravitated to (living room or bedroom) but definitely somewhere where we'll be in earshot
Play & exercise:	Walks and our current apartment building has a dog run, we'd also go to all the dog friendly parks in Chicago for off-leash time in a space bigger than the dog run
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:	Currently rent but buying a home in 2018
Landlord info:
May we contact your landlord?
Lease allow dogs:
Landlord permission:
Restrictive covenants?	No, the condo covenants do not prevent me from having a dog.
Breed/size restrictions?	Yes
Description of yard:	N/A
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?	Sam
Willing to train children?	Yes
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?	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: