Untitled_1847 - Lakeshore Pembroke Welsh Corgi Rescue

Date & Referral Source
State:		Date of Application:	05/29/2018	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:	Red & White, Sable & White	Activity level:	Outgoing, Quiet, Playful
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 want to adopt a Permbroke because asides from their adorable physical traits , they are very docile dogs. Since I've been out of school, I'm in need of a companion who will help me combat my feelings of loneliness. I love how friendly they are and how intelligent they can be. I have no experience with the breed, but I'm open to learn from them along the way. Yes, I have done research on them and am becoming familiarized with the amount of attention they need, as well with their congenital diseases.
Activities planned with Pembroke:	Take him/her for walks to the nearby park. Have him/her play with my 12 year old sibling. Let him/her play in my yard. Have him/her play with toys. Allow him/her to rest in my lap close to bed time. Have him/her sleep in my room.
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 use repetition by telling him/her how to do it while using incentives (treats) for the correct behavior.
Discipline:	Incentives for good/correct actions or behaviors. Raise voice when the dog is not behaving to allow him/her to know that a certain behavior is not right.
Where would Pembroke spend the majority of the time:	At home and in the backyard.
Discipline:	Incentives for good/correct actions or behaviors. Raise voice when the dog is not behaving to allow him/her to know that a certain behavior is not right. Where would Pembroke spend the majority of the time: At home and in the backyard.
House dog or outside dog?	House dog
People at home during the day?	Yes, my mother.
Where would dog eat?	Near the back entrance of the kitchen.
Where would dog sleep:	In a small bed near me in my room.
Play & exercise:	I will take him/her out for walks near the neighborhood park while I go for a run (30-45mins) early in the day. She will spend about 30-45 minutes running and playing fetch with my sister and i in our backyard in the evening.
How will you exercise your dog?	On leash
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 feet tall on back and left side of yard. 4 feet tall on the right side of yard.
Living arrangements:	Own home
Landlord info:
May we contact your landlord?
Lease allow dogs:
Landlord permission:
Restrictive covenants?	Not applicable
Breed/size restrictions?	No
Description of yard:	Central air system furnace close to backyard door.
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?	Lizbeth Aquino
Willing to train children?	I don't have children. My sister is 12 and acts very mature for her age. If the moment arises, I will demonstrate the child how to interact with the dog.
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
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: