Untitled_2032 - Lakeshore Pembroke Welsh Corgi Rescue

Date & Referral Source
State:		Date of Application:	09/23/2018	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:	Male	Color preferred:	Any color	Activity level:	Couch Potato, Quiet, Playful, Other (Please describe in the box below.)
Other preferences:
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?	Adopt
Why do you want a Pembroke?	I have loved corgis all my life. My sister currently had two dogs, one being a corgi and now that I am ready to adopt. A corgi is my absolute first choice and favorite
Activities planned with Pembroke:	I have a dog park across the street from my apartment. I’m looking for a new best friend and a cuddle buddy.
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:	As an adult. If my dog isn’t trained in a specific way that it should I would be responsible for the training.
Discipline:	Rewarding him/her when he does something right and if not then I would not support wrong doings.
Where would Pembroke spend the majority of the time:	With me of course. My work is dog friendly, I am able to work from home twice a week and my current roommate is home the majority of the day and goes to school online.
Discipline:	Rewarding him/her when he does something right and if not then I would not support wrong doings. Where would Pembroke spend the majority of the time: With me of course. My work is dog friendly, I am able to work from home twice a week and my current roommate is home the majority of the day and goes to school online.
House dog or outside dog?	House dog
People at home during the day?	Yes
Where would dog eat?	The apartment
Where would dog sleep:	My bed, his bed
Play & exercise:	The dog park across the street or anywhere outside
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?	Dog park in my complex
Living arrangements:	Apartment complex
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:	Apartment complex with a dog park across the street. Many friends to be made.
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?	Kyke wayner
Willing to train children?	I do not have one but yes I will if I have a kid
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 absolutely
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: