Untitled_1389 - 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	Gender preferred:	Either a Male or a Female	Color preferred:	Red & White	Activity level:	Couch Potato, Quiet
Other preferences:	My son suffers from epilepsy and due to be alone a lot has depression problems. A dog that seems 'in tune' to emotions and needs would be great. This may be a pipe dream option, but I know dogs can be very intuitive. He currently has 2 guinea pigs – which can be moved to our home if the new family member and the piggies don't get along – so that isn't a deal breaker – wanted to let you know in case there is a candidate that likes other animals as friends.
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?	My son, Andy. He has been approved for an emotional support animal by his doctors. He has high functioning autism and epilepsy. He would like the companionship of a dog and has researched and chosen the Corgi as the breed of choice. Because he lives alone he needs an older dog that is already house broken and somewhat trained since we don't have the luxury of training (the owner of his apartment building is worried about damage from a younger dog).
Why do you want a Pembroke?	My son is very fond of foxes – the Corgi looks like one and he is very excited about that. From the ones we met they seem very loveable and friendly. The smaller breed was preferred because of living in an apartment vs a house. He is looking for a friend and companion – the corgi seemed perfect.
Activities planned with Pembroke:	He does have a park across the street from his apartment and is a big walker – so the pooch would have plenty of exercise opportunity. Beyond that – relaxing in the house and just 'hanging out'.
Aware that Pembrokes are busy, noisy dogs?	Yes
Money for basic care?	Yes
Money for unforeseen medical expenses?	Yes
Willing to house train?	No Willing to do formal training? Yes
Do you have a veterinarian?	Yes
Vet contact info:
Will handle mistakes Pembroke makes like this:	As a mistake. It would depend on the mistake. A chewed item – a strict 'no' and letting them know I am not happy. 'Going' in the house – back to crate training until the event doesn't re-occur.
Discipline:	Never striking, more or less strict voice and directing to proper (wanted) behavior
Where would Pembroke spend the majority of the time:	With Andy in the living room or outside for walks. He already has a dog bed and area setup for his new friend. He is hoping for a dog that likes to hang out with him.
Discipline:	Never striking, more or less strict voice and directing to proper (wanted) behavior Where would Pembroke spend the majority of the time: With Andy in the living room or outside for walks. He already has a dog bed and area setup for his new friend. He is hoping for a dog that likes to hang out with him.
House dog or outside dog?	House dog
People at home during the day?	Yes
Where would dog eat?	Kitchen
Where would dog sleep:	He has a bed in the living room (where Andy prefers to sleep) and would also have access to the spare bedroom where the kennel will be, along with the guinea pigs (if they get along)
Play & exercise:	Walks, park, visiting other family, tons of opportunity for exercise and company.
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?	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?	Andy
Willing to train children?	yes
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?	If they don't get along, mom will take the guinea pigs (they were hers first, anyway)
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: