Untitled_1761 - Lakeshore Pembroke Welsh Corgi Rescue

Date & Referral Source
State:		Date of Application:	04/10/2018	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	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?	Myself
Why do you want a Pembroke?	I love corgis. Every interaction I’ve had with one has been positive. I think they are beautiful dogs. I like the idea of a “big dog in a small body.” I have done research on the breed, and I want a dog that can be both a couch potato and an active companion.
Activities planned with Pembroke:	I would like to take my dog hiking and camping. At home I would take it for walks, bring it to the park and dog parks, hang out on the couch, play ball, and overall have a great companion.
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:	I would give a stern “no!” and direct the dog towards a more desirable behavior. After that I would reward the positive behavior.
Discipline:	Stern voice, not giving attention to negative behaviors
Where would Pembroke spend the majority of the time:	At my apartment with me. Or taking it out with me
Discipline:	Stern voice, not giving attention to negative behaviors Where would Pembroke spend the majority of the time: At my apartment with me. Or taking it out with me
House dog or outside dog?	House dog
People at home during the day?	Yes I am primarily home during the day. I have a very flexible schedule being a student.
Where would dog eat?	My apartment. Near the kitchen
Where would dog sleep:	My room either on a dog bed or in my bed.
Play & exercise:	I will take it on walks daily. I have a trail that is several miles near my apartment. I will play fetch and other games. I will take it hiking and camping. I would like to go to the dog park.
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:	Apartment
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:	I live in a 2 bedroom apartment. Outside I have a patio I’m willing to fence in, the yard is next to a small lake. The apartment has a trail next to it.
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?	Myself. Nathan Brucher
Willing to train children?	I don’t have a child
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?	I don’t have any pets and don’t intend to add any
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: