Untitled_2026 - Lakeshore Pembroke Welsh Corgi Rescue

Date & Referral Source
State:		Date of Application:	09/19/2018	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:	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:	Any color	Activity level:	Couch Potato, Outgoing, Quiet, Playful, Energetic, Very Active
Other preferences:	Not aggressive. Can get along with other animals
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?	Myself!
Why do you want a Pembroke?	I've always had a dream to have one! I'm a petite individual and I wanted a petite dog like me. I have lots of energy to move and I'm constantly either rock climbing, camping, or biking. Corgis tend to have to energy and agility to keep up with me. I'm also a person that loves to relax at home and read a book sometimes, so once these guys are tuckered out we can nap together. I've gone to a few corgi meet-up events and have witness a variety of personalities, which I love too! I've conversed with owners on how they have trained their dogs, what are some activities they do with their dog, and how they interact with other animals. All encounters have been positive.
Activities planned with Pembroke:	I would definitely let it run around the dog park, go camping with it, and get it moving outside!
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:	I've been training my cat, so when she does something bad I use the same words and noises (NO followed by a loud hand clap). I try to condition this into them to make sure they know that if they do something wrong.
Discipline:	Positive reinforcement if they are doing something good, like treats and toys. I also use their name and say certain phases so they will know they have done something good. If they do something bad, I will tell them no and not give treats.
Where would Pembroke spend the majority of the time:	Mostly in my apartment, the backyard of my complex (we have 8 units), and outside with me when I go on errands
Discipline:	Positive reinforcement if they are doing something good, like treats and toys. I also use their name and say certain phases so they will know they have done something good. If they do something bad, I will tell them no and not give treats. Where would Pembroke spend the majority of the time: Mostly in my apartment, the backyard of my complex (we have 8 units), and outside with me when I go on errands
House dog or outside dog?	House dog
People at home during the day?	I work Monday-Friday 10-4pm so I will be home most days, and if I'm not my partner is since he works evenings or early mornings.
Where would dog eat?	In my kitchen
Where would dog sleep:	Anywhere in my unit. I have a bed for my cat, but she does not use it. The corgi can use it!
Play & exercise:	I bike everyday to work or errands, so my corgi can tag along with me. I live near a park and work near 2 athletic fields, so the corgi can run freely! My corgi will definitely get go to outside at least twice a day.
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?	Steel fence, roughly 6ft tall. Keys are required to get in and out of the yard.
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?	No
Description of yard:	Not 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?	Cecilia
Willing to train children?	Yes – but I also do not have a child
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: