Untitled_1805 - Lakeshore Pembroke Welsh Corgi Rescue

Date & Referral Source
State:		Date of Application:	05/05/2018	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	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 would like to Adopt a Pembroke Welsh Corgi because i am madly inlove with the breed of the dog, they seem playful and very caring. I've seen in many videos and i been in dog groups on facebook and Corgis seem to be a very straight foward dog, since they're a herding dog i know they are in control.
Activities planned with Pembroke:	Play with their toys Take him/her out to the park and interact with other people or dogs Spend my time with the dog!
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:	Pretend i am hurt or cry. Make eye contact with my dog and tell them the right way, trying to also show it out
Discipline:	No treats Making my dog go to their bed and stay there
Where would Pembroke spend the majority of the time:	Inside the house in a good bed.
Discipline:	No treats Making my dog go to their bed and stay there Where would Pembroke spend the majority of the time: Inside the house in a good bed.
House dog or outside dog?	House dog
People at home during the day?	Yes, my parents
Where would dog eat?	In the kitchen at a corner
Where would dog sleep:	In a bed in my room
Play & exercise:	Play around the house with toys , and outside in my back yard! Luckily i have a big yard so i can just be playing with my corgi all day if i can .
How will you exercise your dog?	Both on leash and restrained to the yard
Fenced yard?	Yes, I have a fenced in yard.
Willing to pick up dog waste?	Yes, I will clean up after my dog.
Willing to use a crate?	6-7 ft – height Surrouding the backyard
Living arrangements:	We own the house, people are renting the 2nd floor and basement
Landlord info:
May we contact your landlord?
Lease allow dogs:
Landlord permission:
Restrictive covenants?	Not applicable
Breed/size restrictions?	No
Description of yard:	My yard has a wide space of grass and a walkway of cement
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?	Elizabeth Plaza
Willing to train children?	Yeah
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 i sure will
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: