Untitled_2204 - Lakeshore Pembroke Welsh Corgi Rescue

Date & Referral Source
State:		Date of Application:	01/25/2019	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:	Red & White	Activity level:	Couch Potato, Outgoing, Quiet, Playful, Energetic
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?	Myself
Why do you want a Pembroke?	I’ve wanted a corgi for years. I’ve fallen in love with their outgoing personalities, their adorable stature, and how they always make me smile. I have a good friend with a corgi and he’s amazing! I’ve seen corgis out with their owners while I was driving past, and I’ve pulled over just to ask them if I could pet their dog! I’ve done a lot of research and want to put in the time and effort required for such a smart breed.
Activities planned with Pembroke:	Daily walks, lots of snuggling, & possibly some “corgi get-together” in the area.
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:	Using a firm voice, say “no”.
Discipline:	I would like to crate train. I’ve read that only using the corgi’s name with good praise (like “good boy, ___” instead of “bad ____!”) is beneficial to correcting behavior that is not desired.
Where would Pembroke spend the majority of the time:	In the house (where I usually am, with the exception of a couple hours every now and again), with me (running errands, on walks, etc), and playing outside.
Discipline:	I would like to crate train. I’ve read that only using the corgi’s name with good praise (like “good boy, ___” instead of “bad ____!”) is beneficial to correcting behavior that is not desired. Where would Pembroke spend the majority of the time: In the house (where I usually am, with the exception of a couple hours every now and again), with me (running errands, on walks, etc), and playing outside.
House dog or outside dog?	House dog
People at home during the day?	Yes
Where would dog eat?	In the kitchen or dining room.
Where would dog sleep:	In his crate or plush bed, or in bed with me.
Play & exercise:	I will walk daily (2-3 walks per day), and a large fenced-in backyard is available. He will be able to play at several ocal dog parks, also.
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?	Wooden fence on two sides, chain link on two other.
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:	A large backyard with a small in-ground fireplace that is blocked off unless in use.
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?	Stephanie
Willing to train children?	No children in the household under 18.
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?	No other pets.
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: