Untitled_1903 - Lakeshore Pembroke Welsh Corgi Rescue

Date & Referral Source
State:		Date of Application:	06/30/2018	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	Gender preferred:	Female	Color preferred:	Red & White, Red Headed Tri, Black Headed Tri, Sable & White, Any color	Activity level:	Couch Potato, Outgoing, Quiet, Playful
Other preferences:
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?	I have been around Pembrokes for a few years now with friends, family, and significant others and I am reaching the point where I would like a best friend. Obviously my experience is anecdotal but all of the Corgi's I have been around have been very friendly and social dogs.
Activities planned with Pembroke:	Anything and everything that is dog appropriate! Walks, (short) hikes, running errands at dog friendly venues, outdoor social events, watching TV shows at home, visits to landmarks or other outdoor venues, road trips, ect!
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:	Try to curb the behavior with positive reinforcement with the correct behavior (corgis are VERY food motivated!), if that does not work gentle negative reinforcement, mostly verbal, to let the dog know that it is not ok! Both always done right after the action happens.
Discipline:	Being firm vocally with consistent rules, and using negative reinforcement without being physical with the dog. E.G. taking away privileges when behavior is not proper.
Where would Pembroke spend the majority of the time:	In my home, in a crate/pen during the workday if necessary, otherwise with free roam of the house.
Discipline:	Being firm vocally with consistent rules, and using negative reinforcement without being physical with the dog. E.G. taking away privileges when behavior is not proper. Where would Pembroke spend the majority of the time: In my home, in a crate/pen during the workday if necessary, otherwise with free roam of the house.
House dog or outside dog?	House dog
People at home during the day?	No, but I have a pretty flexible work schedule and I am able to take my dog with me to work on certain days..
Where would dog eat?	Food and water bowls would be in the kitchen.
Where would dog sleep:	Preferably in my bed, although if she required to be crated I would be comfortable with that.
Play & exercise:	Daily. I have a fenced in yard and a dog run to prevent slippery and/or sneaky corgis from finding any gaps in the fence.
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?	Chain link with ivy grown throughout, roughly 5 feet tall. Runs from the house to an outside garage and then back to the house.
Living arrangements:	Rent/lease home
Landlord info:
May we contact your landlord?	Yes, you may contact my landlord.
Lease allow dogs:	Yes, my lease permits dogs.
Landlord permission:	Yes, my landlord is fine with me owning a Pembroke
Restrictive covenants?	Not applicable
Breed/size restrictions?	Yes
Description of yard:	Medium sized back yard, no water features, grass and driveway with a chain link fence and a dog run. Plenty of room for a dog to run and explore but not massive as I live in a suburb on the East side of Indianapolis.
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?	Jack (myself)
Willing to train children?	I do not have children and do not plan on having any for the foreseeable future. I will be cautious in public interactions with 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! I my current cat is extremely friendly and gets along with dogs from friends and family that she has been introduced to. I would hope that they get along if/when I do adopt a Pembroke, but I would work on resolving the issue if they did not get along.
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: