Untitled_1358 - Lakeshore Pembroke Welsh Corgi Rescue

Date & Referral Source
State:		Date of Application:	08/24/2017	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:	0 months – 1 year (we rarely get dogs in this age group), 1 year – 3 years, 3 years – 5 years, 5 years – 10 years, 10 years +, Any age	Gender preferred:	Either a Male or a Female	Color preferred:	Red & White, Red Headed Tri	Activity level:	Couch Potato, Outgoing, Quiet, Playful, Energetic, Very Active
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?	My mother and myself.
Why do you want a Pembroke?	I love the friendly and intelligent nature of the dog. Having encountered a neighbor's Corgi, I was struck by its beautiful coat and its surprisingly levels of energy. I know that Corgis require a great deal of attention and affection. I am ready to match its levels of high energy by walking with it as much as necessary.
Activities planned with Pembroke:	Daily walks during the day and night. Occasionally running around the dog park. Training it to handle its bark and curiosity.
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 wouldn't discipline it, but rather reward positive behavior. If in the middle of a negative behavior, I would clap loudly to distract it.
Discipline:	Positive reinforcement is ideal. Trying to associate negative behavior with a negative action.
Where would Pembroke spend the majority of the time:	Inside the house, but with free roam of the area.
Discipline:	Positive reinforcement is ideal. Trying to associate negative behavior with a negative action. Where would Pembroke spend the majority of the time: Inside the house, but with free roam of the area.
House dog or outside dog?	House dog
People at home during the day?	Yes there are, as my mother will soon be retiring.
Where would dog eat?	In the kitchen, with a special food and water bowl.
Where would dog sleep:	In a pet bed, most likely near one of our adult beds.
Play & exercise:	My mother and I take daily walks at night, so this is a great opportunity to bring it along for exercise. I will take our Corgi to the dog park on occasion, making sure that it has the ability to run around a fenced area. I will make sure to satisfy our dogs energy needs.
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:	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:	I live in a townhouse, unfortunately this doesn't include a yard.
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?	Daniel Bai
Willing to train children?	Not applicable, as there are no children in the household for the foreseeable future
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?	Not Applicable.
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: