Untitled_1989 - Lakeshore Pembroke Welsh Corgi Rescue

Date & Referral Source
State:		Date of Application:	08/25/2018	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:	1 year – 3 years, 3 years – 5 years, 5 years – 10 years, 10 years +	Gender preferred:	Female, 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?	My wife and I.
Why do you want a Pembroke?	My wife and I have always loved Pembroke Welsh corgis. First, they’re just adorable dogs. But we also love that they are the perfect size for us but are still active due to their herding background. We have not had many experiences with them but have done a lot of research.
Activities planned with Pembroke:	We have a big backyard and would play outside a lot. My wife and I love visiting the forest preserves around DuPage county, where we live, so would want to take a lot of long walks. We also love to take drives m, so we would want a dog that loves being in the car and taking car rides.
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 don’t understand raised voices or physical punishments so we like to use positive reinforcement through treats and redirection. If our Pembroke misbehaved we would direct him/her to the positive behavior and give a reward when it was done correctly.
Discipline:	See above.
Where would Pembroke spend the majority of the time:	Our Pembroke would spend a lot of time inside where they would have free reign of the house when we are home, but would have their own room when we are gone. We also are building a shaded dog run until we completely fence in our yard, so they would spend time out there if we knew we were only going to be gone for a few hours and the weather was nice.
Discipline:	See above. Where would Pembroke spend the majority of the time: Our Pembroke would spend a lot of time inside where they would have free reign of the house when we are home, but would have their own room when we are gone. We also are building a shaded dog run until we completely fence in our yard, so they would spend time out there if we knew we were only going to be gone for a few hours and the weather was nice.
House dog or outside dog?	House dog
People at home during the day?	My wife and I are in and out of the house often. I have a very flexible schedule and work from home often while my wife has a more structured schedule but is still home some afternoons or mornings during the week.
Where would dog eat?	In the kitchen.
Where would dog sleep:	In a crate.
Play & exercise:	They will play and exercise often. As stated before we are fencing in an area for a dog run until we fence in our entire yard. We also take frequent walks around our neighborhood or in the forest preserves near us.
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?	Not applicable
Breed/size restrictions?	No
Description of yard:	We have a large open yard, shaded by a big maple tree in the middle. No swimming pools or other fixtures at the moment.
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?	No, I will not 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?	Justin Wilke
Willing to train children?	Yes
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
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: