Untitled_1920 - Lakeshore Pembroke Welsh Corgi Rescue

Date & Referral Source
State:		Date of Application:	07/08/2018	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:	Any age	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?	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?	Previous Rottweiler owner. My condo and age restrict that breed. I would like a smaller but similar character.
Activities planned with Pembroke:	I walk daily. We have local dog parks. I have worked with my dogs on agility. My friends and family all have dogs. I’ll need to assess the individual dog to understand her activity preferences.
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:	Dogs need to be shown how you want them to behave. Our direction should be clear and consistent.
Discipline:	Redirection. Positive reinforcements for the corrected behavior. Consistent, loving directions.
Where would Pembroke spend the majority of the time:	With me. I work from home. I take my dogs with me when I go where they are welcome. I’ll crate train a dog at first until I can leave them safely in my condo alone.
Discipline:	Redirection. Positive reinforcements for the corrected behavior. Consistent, loving directions. Where would Pembroke spend the majority of the time: With me. I work from home. I take my dogs with me when I go where they are welcome. I’ll crate train a dog at first until I can leave them safely in my condo alone.
House dog or outside dog?	House dog
People at home during the day?	I am
Where would dog eat?	In our home
Where would dog sleep:	In my bed room
Play & exercise:	Multiple walks per day. Other dog play times several times per week: family, friends, dog parks.
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:	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?	Yes
Description of yard:	I live in a condo. The association restricts “bully breeds”. There are no hazards such as pools. There are no private fenced areas. We will need to go to a dog park for free running.
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?	Yes for any child visiting. No child lives in my condo with me.
Any allergies?	No one is allergic.
Current pets:
Current pets dog friendly?
Are you willing to work on it if your new dog doesn’t get along with your current pets right away?	Yes. I would carefully introduce any animals that will interact with my dog companion. I won’t adopt another pet with out prior believe they can happily coexist.
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: