Untitled_2036 - Lakeshore Pembroke Welsh Corgi Rescue

Date & Referral Source
State:		Date of Application:	09/27/2018	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)	Gender preferred:	Either a Male or a Female	Color preferred:	Any color	Activity level:	Playful, Energetic
Other preferences:	Less than 2 years Good personality and behavior Not aggressive My wife and I feel comfortable and attach to
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?	My wife and I want to adopt a Corgi puppy.
Why do you want a Pembroke?	My wife used to have a mix border collie and corgi dog back in my home country, Cambodia. She got her dog since puppy until it old and die due to natural course. She feels comfortable and attach to this breed. For me myself, I am scare of the dog because I was bitten twice when I was a kid, and that's keep me from being comfortable with big dog. This is my first time to have a dog. I would like to reestablish my trust with the dog and that's why I want to adopt the dog less than a year to build the trust again. My wife and I have been searching for a while. My wife has more experience with dog. I personally doing research on how to take care / train the dog especially puppy.
Activities planned with Pembroke:	Take him/her to the vet Taking care the dog Walk the dog Play with the dog Train the dog Take him/her to socialize with others etc.
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:	Be calm and check the situation;
Discipline:	Lead by example. We are not stressful, shout, anger and express any bad behavior that affect the dog. Place the dog in safe place by him/her self for few minutes
Where would Pembroke spend the majority of the time:	If puppy, the dog will be at home until it got all vaccinated except Vet visit to avoid expose to gem. Once, we get green light to take the dog outside, depends on the dog condition and the weather, we want him/her play outside.
Discipline:	Lead by example. We are not stressful, shout, anger and express any bad behavior that affect the dog. Place the dog in safe place by him/her self for few minutes Where would Pembroke spend the majority of the time: If puppy, the dog will be at home until it got all vaccinated except Vet visit to avoid expose to gem. Once, we get green light to take the dog outside, depends on the dog condition and the weather, we want him/her play outside.
House dog or outside dog?	House dog
People at home during the day?	Yes, my wife will mostly be at home. I only go to work place three days a weeks.
Where would dog eat?	his/her space in living room when first adopted
Where would dog sleep:	The dog can sleep at his/her own space in living room during day, at night if the dog don't feel comfortable, we will move the dog in the to the bedroom so the dog doesn't feel anxious by not seeing us.
Play & exercise:	If puppy, the dog will be at home until it got all vaccinated except Vet visit to avoid expose to gem. Once, we get green light to take the dog outside, depends on the dog condition and the weather, we want him/her play outside.
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:	The Meadows Apartments in Lakemoor Ill
Landlord info:
May we contact your landlord?
Lease allow dogs:
Landlord permission:
Restrictive covenants?	Not applicable
Breed/size restrictions?	Yes
Description of yard:	Not applicable.
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?	Lyna Set and Vortana Say
Willing to train children?	We don't have kid, but of course when we have kids we are going to teach them how to properly treat the animals.
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?	Not applicable
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: