Untitled_1624 - Lakeshore Pembroke Welsh Corgi Rescue

Date & Referral Source
State:		Date of Application:	01/31/2018	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, 5 years – 10 years	Gender preferred:	Either a Male or a Female	Color preferred:	Any color	Activity level:	Couch Potato, Outgoing, Playful, Energetic, Very Active
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?	Myself
Why do you want a Pembroke?	I love their demeanor, playful and goofy, vocal, yet loyal and lovable. my ex had a corgi mix and I have been obsessed ever since. I love their little legs as well. To me they are the most beautiful dogs. Yes, I have done research as I lived with one for 3 years.
Activities planned with Pembroke:	Go for walks, take it to locally owned canine friendly restaurants and events, camping, take to dog park, cuddle on the couch, take on vacations. I would honestly consider getting a license and obedience training to take it to a hospital to cuddle with kids with diseases and such. Depending on demeanor of course.
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:	using a tone of voice that shows bad behavior. I don’t believe in hitting animals to get your point across. Your tone in your voice is enough.
Discipline:	Just tone of voice or potentially a spray bottle depending on situation.
Where would Pembroke spend the majority of the time:	With me. I only work 8 hours a day but i live next to a canine to 5 which is a dog day care that I would be prepared to use.
Discipline:	Just tone of voice or potentially a spray bottle depending on situation. Where would Pembroke spend the majority of the time: With me. I only work 8 hours a day but i live next to a canine to 5 which is a dog day care that I would be prepared to use.
House dog or outside dog?	House dog
People at home during the day?	I live alone
Where would dog eat?	The kitchen in a bowl
Where would dog sleep:	In my bed, my furniture, their own bed. In a crate I’d recommended by veterinarian. I’m not picky.
Play & exercise:	I live next door to a dog park so she would have ample time outside. I work 1 mile from home as well so it would be able to be let out during my lunch break which would also give play time.
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:	Rent/lease home
Landlord info:
May we contact your landlord?	Yes, you may contact my landlord.
Lease allow dogs:	Yes, my lease permits dogs.
Landlord permission:	Yes, my landlord is fine with me owning a Pembroke
Restrictive covenants?	Not applicable
Breed/size restrictions?	No
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?	Whitney Robertson- self
Willing to train children?	I don’t want children, but If that situation occurred, yes.
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. Without a doubt.
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: