Untitled_1320 - Lakeshore Pembroke Welsh Corgi Rescue

Date & Referral Source
State:		Date of Application:	08/05/2017	Referred by:	Website, Other
Contact Information
First name:		Last name:		First name 2:		Last name 2:
Address
Street:
City:			State:		Zip:
Type of Dog Wanted
Ages interested in:	Any age	Gender preferred:	Either a Male or a Female	Color preferred:	Any color	Activity level:	Couch Potato, Outgoing, Quiet, Playful, Energetic, Very Active
Other preferences:	Will consider any animals with special needs or accomadtion
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 love all breeds or dogs, but have always felt a special connection with corgis in general. From their small size, feisty attitude, and ambition- I see myself in them. Ny experiences with the breed have been nothing but positive and every corgi I meet, leaves a positive impact on me and my life for animals. I have dk research on the breed within lifestyle, diet, and other needs.
Activities planned with Pembroke:	I would love to take him or her to the dog park, make bed forts with them, and cuddle every day and night. I enjoy grooming dogs and would love to brush their coat for relaxation and pampering. I would take my dog on plenty of walks and even try bike riding. Nothing is off the board as long as my corgi will be safe and comfortable. I would never put the corgi in a situation where I felt they would be at risk emotionally or physically.
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:	First, differ if it was the dogs mistake or my lapse of responsibility. If the dog has an accident, let the puppy out right away and clean the mess up in private. Most mistakes have an underlying issue that could be medical or emotional, and I understand that. I just use a slightly harsh tone to say no,.
Discipline:	Spray bottle of water works great. Never use anything personal or yourself, because that can cause great distrust in the relationship.
Where would Pembroke spend the majority of the time:	My upstairs and outside yard.
Discipline:	Spray bottle of water works great. Never use anything personal or yourself, because that can cause great distrust in the relationship. Where would Pembroke spend the majority of the time: My upstairs and outside yard.
House dog or outside dog?	House dog
People at home during the day?	Yes!
Where would dog eat?	My room (upstairs)
Where would dog sleep:	My room, upstairs.
Play & exercise:	Opportunities to go to the dog park, walks, and roam outside freely (we have an electric fence). Take advantage of pet dogs and animal outings. The dog will have the chance to be very active if that's what they'd like.
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?	Electric fence.
Living arrangements:	Own home
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:	Large, large yard. No fixtures, just grass and garden.
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?	Delain Kazik
Willing to train children?	Children are not an issue in the household.
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.
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: