Untitled_1850 - Lakeshore Pembroke Welsh Corgi Rescue

Date & Referral Source
State:		Date of Application:	05/31/2018	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:	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, 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?	Max Kramer, companion/emotional support
Why do you want a Pembroke?	They are listed as a fantastic emotional support/companion breed, they are a great build for air travel which is play primary method of travel, and every corgi I have met through training my dog (parent owned, raised and trained by myself) was a lovely disposition. I have done breed research regarding potential health issues and activity requirements.
Activities planned with Pembroke:	Walks, obedience classes, potential therapy dog training, socializing with people/other dogs
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:	Swift nonviolent correction
Discipline:	Verbal discipline, whatever recommended by training school
Where would Pembroke spend the majority of the time:	Following me in my day to day activities.
Discipline:	Verbal discipline, whatever recommended by training school Where would Pembroke spend the majority of the time: Following me in my day to day activities.
House dog or outside dog?	House dog
People at home during the day?	I am home whenever I am not in class, and I will be able to take the dog to class as well.
Where would dog eat?	My family uses Darwin’s to feed our 3 dogs, but im willing to entertain options from our local vet.
Where would dog sleep:	My bed or a dog bed, whichever they prefer.
Play & exercise:	I would be able to take the dog everywhere I go, and it would be able to go on several walks a day and play with other dogs on campus. There are park areas locally as well.
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:	Dorm
Landlord info:
May we contact your landlord?
Lease allow dogs:
Landlord permission:
Restrictive covenants?	Not applicable
Breed/size restrictions?	Yes
Description of yard:	Yard is the main quad, large green area with many trees, always with several dogs and owners around.
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?	Max Kramer
Willing to train children?	N/A
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: