Untitled_2155 - Lakeshore Pembroke Welsh Corgi Rescue

Date & Referral Source
State:		Date of Application:	12/21/2018	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:
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?	Me!
Why do you want a Pembroke?	For starters they’re adorable. My dog Zeus (beagle) passed away in November from cancer after 11 years. He was always fascinated with them. I started asking questions to my various neighbors who own them and just felt they’d be a really neat dog to have. I like that they are large enough to be hearty (not too fragile), but small enough to be easily accepted in apartments, travel, etc. From what I’ve read about the breed, we also seem to have a similar temperament.
Activities planned with Pembroke:	Walk, Netflix, dog park, dog beach, road trips, play with other dogs
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:	With love and understanding. Through positive reinforcement, and correcting the mistake in action (such as carrying them outside to pee mid stream, using verbal or body language cues to express displeasure… but praising when they do something right.)
Discipline:	Sound/verbal cues, physically correcting the action (ie removing a food or object, or taking them outside mid stream if having a potty accident)
Where would Pembroke spend the majority of the time:	At home with me, or at dog parks/outside with me, or visiting my friends and family with me, staying with parents while I’m on vacation.
Discipline:	Sound/verbal cues, physically correcting the action (ie removing a food or object, or taking them outside mid stream if having a potty accident) Where would Pembroke spend the majority of the time: At home with me, or at dog parks/outside with me, or visiting my friends and family with me, staying with parents while I’m on vacation.
House dog or outside dog?	House dog
People at home during the day?	I work from home most days
Where would dog eat?	Chicken and rice, dog friendly vegetables like carrots once they are able
Where would dog sleep:	In my bed, or a dog bed in my bedroom
Play & exercise:	We’ll take walks/breaks during the workday around the neighborhood, visit dog parks and the montrose dog beach, and visit my parents in the burbs a couple times a month who have a large fenced in yard. There are a lot of dogs in the neighborhood for socializing as well.
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:	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:	N/A
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?	Self
Willing to train children?	I do not have children, but if I do eventually of course I would teach them. Dogs are part of the family and need to be loved and respected
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, of course
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: