Untitled_2216 - Lakeshore Pembroke Welsh Corgi Rescue

Date & Referral Source
State:		Date of Application:	01/31/2019	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:	Either a Male or a Female	Color preferred:	Any color	Activity level:	Couch Potato, Outgoing, Playful, Energetic
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?	Myself.
Why do you want a Pembroke?	I like the size of the breed, I've had experience with larger breeds, but would enjoy having a smaller breed dog that enjoys physical activity as much as other larger breeds. I enjoy the outgoing temperament of the Pembroke Welsh Corgi who are open learning new activities and training. When weather permits I enjoy physical activities outdoors. With my previous dog I enjoyed doing activities with him such as reinforcing tricks, hide the trick games with treats or his favorite toys. I have done research on the health conditions, grooming needs, and diet of this breed and understand the specific needs of the breed.
Activities planned with Pembroke:	Activities I would plan to do is casual walk outdoors, near the trails I live by or dog parks that are available. I enjoy the mental stimulation of obedience training and would pursue in doing classes with the Pembroke Corgi. On days when I work remote, I am home to do activities and take walks with the Corgi. With family members who are veterinarians they would assist me diagnosing any concerns or illnesses that could affect activities of the Pembroke Corgi.
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:	I would identify and understand what resulted in the behavior to find the appropriate action to positively correct mistakes the Pembroke could possibly make. All dogs may act differently, but I would rely on the training and information about the Pembroke Corgi to find effective methods to train the Pembroke I may home.
Discipline:	positive reinforcements with treats and consistent actions or methods to discipline the dog to provide structure or routine. In order to keep the dog mentally and physically stimulated.
Where would Pembroke spend the majority of the time:	The Pembroke would spend most of its time with me in my house. Walking outside around the neighborhood or nearby the nature preserve.
Discipline:	positive reinforcements with treats and consistent actions or methods to discipline the dog to provide structure or routine. In order to keep the dog mentally and physically stimulated. Where would Pembroke spend the majority of the time: The Pembroke would spend most of its time with me in my house. Walking outside around the neighborhood or nearby the nature preserve.
House dog or outside dog?	House dog
People at home during the day?	I am home four days out of the week. Two days out of the week I work remotely.
Where would dog eat?	The corgi would have a designated place to eat in the dinning room area with its own place for water and food.
Where would dog sleep:	An indoor dog house or tent or its own designated space for its bed that would be easily accessible by the corgi.
Play & exercise:	As often as possible. I will have toys and a remote camera to keep tabs on the corgi when I am away. I am relatively active person and would incorporate the corgis playtime and exercise with my own.
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:	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?	Yes
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?	Wisa Terhune
Willing to train children?	Do not have children nor expecting children
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?	Do not have any other pets in my home.
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: