Untitled_1877 - Lakeshore Pembroke Welsh Corgi Rescue

Date & Referral Source
State:		Date of Application:	06/14/2018	Referred by:	Other
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, Red Headed Tri, Black Headed Tri, Sable & White, Any color	Activity level:	Couch Potato, Outgoing, Quiet, Playful, Energetic, Very Active, Other (Please describe in the box below.)
Other preferences:	The dog would be the only one in my condo but I do have family dogs that it would be interacting with on a regular basis.
Dog Ownership History
Previous dog owner?	Yes
	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?	They are very smart dogs that are also social, affectionate and adaptable. I like that they are playful and have unique personalities. I prefer the size of their bread, the general athleticism of the bread and shorter coat. I've had dogs that shed a lot, so that does not bother me.
Activities planned with Pembroke:	Daily walks, trips to the dog beach/park, indoor play with lots of toys, car rides, road trips, visiting family/family 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?	Yes
Vet contact info:
Will handle mistakes Pembroke makes like this:	Give them a stern "no", and use positive reinforcement to ward off the unwanted behavior.
Discipline:	Depending on the behavior I would use a stern voice to distract the dog from the said behavior, would remove toys if being territorial and ignore the unwanted behavior, I would never hit or abuse a dog and do not think banishing them to their crate or giving them a time out if effective in my experience. I'd use positive enforcement to encourage wanted behaviors.
Where would Pembroke spend the majority of the time:	In my condo, with me outside, and/or dog day care
Discipline:	Depending on the behavior I would use a stern voice to distract the dog from the said behavior, would remove toys if being territorial and ignore the unwanted behavior, I would never hit or abuse a dog and do not think banishing them to their crate or giving them a time out if effective in my experience. I'd use positive enforcement to encourage wanted behaviors. Where would Pembroke spend the majority of the time: In my condo, with me outside, and/or dog day care
House dog or outside dog?	House dog
People at home during the day?	I work 8 hours a day, 5 days a week otherwise I am home. I would have someone come to take the dog out or take him/her to dog day care.
Where would dog eat?	In my condo, probably in my kitchen
Where would dog sleep:	They would have their own crate to sleep in if they please but would also have their own bed or could sleep on my bed
Play & exercise:	Daily walks, with a longer walk in the evening. Going to the beach to swim and throw a ball or going to the park. My dog may go to a dog day care where he/she would also get exercise.
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:	Own home
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?	No
Description of yard:	I do not live in a house.
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
Willing to train children?	I do not have any children
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: