Untitled_1321 - Lakeshore Pembroke Welsh Corgi Rescue

Date & Referral Source
State:		Date of Application:	08/05/2017	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:	1 year – 3 years, 3 years – 5 years, 5 years – 10 years, 10 years +	Gender preferred:	Either a Male or a Female	Color preferred:	Any color	Activity level:	Couch Potato, Outgoing, Quiet, Other (Please describe in the box below.)
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?	Ian Sharp
Why do you want a Pembroke?	I love the breed. My family had a Pembroke while growing up, Abby, and currently my parents have a second, Koda, who they adopted as an adult, and I've loved both of them. They have a nice mix of energy and calmness, and their level of affection is wonderful.
Activities planned with Pembroke:	Cuddle, go for walks, play (tug of war, fetch, etc.), take him to the dog park
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:	Calmly, and by sharply saying, "no," without raising my voice angry unless to get attention (ie. stop him/her from doing something). Would not hit him or place in cage.
Discipline:	I would give the dog a time out for a few minutes by focusing on something else, and taking away a toy. A quick squirt of water at the same time as saying no would work as well.
Where would Pembroke spend the majority of the time:	He/she would spend most time in the apartment.
Discipline:	I would give the dog a time out for a few minutes by focusing on something else, and taking away a toy. A quick squirt of water at the same time as saying no would work as well. Where would Pembroke spend the majority of the time: He/she would spend most time in the apartment.
House dog or outside dog?	House dog
People at home during the day?	Not during work days, but I live close, so coming home to walk dog is doable.
Where would dog eat?	I would have bowls in the kitchen area.
Where would dog sleep:	In my room, potentially in crate initially.
Play & exercise:	I'll take him/her for walks, and once or twice a week go to the dog park nearby to play fresh,
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:	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:	No, my landlord has not given me permission to adopt a Pembroke
Restrictive covenants?	No, the condo covenants do not prevent me from having a dog.
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?	Ian
Willing to train children?	I have no children. N/A
Any allergies?	One or more family members might be allergic to dogs.
Current pets:
Current pets dog friendly?	No, some of our current pets are not 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: