Untitled_1370 - Lakeshore Pembroke Welsh Corgi Rescue

Date & Referral Source
State:		Date of Application:	08/31/2017	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:	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, Playful
Other preferences:	I do live in a small apartment. However, I can take the dog to a doggie daycare for exercise while I am at work. My parents and sister's family also have dogs and I have a 1 year old nephew. The dog would need to be dog friendly and comfortable around small children, though they would not be around them 24/7.
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?	This Pembroke is for me.
Why do you want a Pembroke?	I would like a Pembroke because I have researched the breed and feel that they would be an excellent choice for my apartment. I like that they are active but would do well in an apartment setting, intelligent, easy to train, and playful. Plus, they are just adorable!
Activities planned with Pembroke:	I would take them on multiple walks during the day, along with going to the dog park on the weekends when it is nice. If needed, I would take them to doggie daycare when I am at work. They would also go on car rides when visiting my family in the GB 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:	I would correct the problem using positive reinforcement.
Discipline:	Positive reinforcement
Where would Pembroke spend the majority of the time:	During the week, my Pembroke would be either in my apartment or at a doggie daycare, depending on their energy level. On the weekends, the dog would be with me most places.
Discipline:	Positive reinforcement Where would Pembroke spend the majority of the time: During the week, my Pembroke would be either in my apartment or at a doggie daycare, depending on their energy level. On the weekends, the dog would be with me most places.
House dog or outside dog?	House dog
People at home during the day?	No, but I am very close to my work and can drive home on my lunch break.
Where would dog eat?	S/he would have a water and food dish in my apartment.
Where would dog sleep:	They would sleep in my apartment, either on their own bed or in bed with me.
Play & exercise:	I would provide ample opportunities to exercise and play, either by multiple walks during the day, at doggie daycare, or at the dog park on nice days when I am off work.
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:	Yes, my landlord is fine with me owning a Pembroke
Restrictive covenants?	Not applicable
Breed/size restrictions?	Yes
Description of yard:	I do not live in a house. I live in an apartment complex with a lot of room for walks and to "go potty".
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?	Kim Nichols
Willing to train children?	I do not have a child myself, but I would teach my nephew how to humanely care for animals.
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: