Untitled_1391 - Lakeshore Pembroke Welsh Corgi Rescue

Date & Referral Source
State:		Date of Application:	09/11/2017	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	Gender preferred:	Either a Male or a Female	Color preferred:	Any color	Activity level:	Couch Potato, Outgoing, Playful, Energetic, Very Active
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?	Us – Alexa and Travis
Why do you want a Pembroke?	Aside from how cute they are, we love that corgi's have their own individual personalities. They are spunky and active. Corgi's are loyal and smart.
Activities planned with Pembroke:	Trips to the dog park, walks both in the neighborhood and on walking trails. Play dates with doggy friends. We would also enroll him/her in training to keep them engaged.
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:	I would be sure to remember to reward when they are doing the CORRECT behavior, so they know which action gets them a treat/attention. I would use a consistent sound/work/phrase to let them know their action is not the right one, so they can get the hang of what is acceptable.
Discipline:	I would use positive reinforcement. For example, if they are barking or chewing, I would distract them to play or do another activity, and reward them that way. If they continue to exhibit the undesired behavior, I would tell them "no" and avoid giving he/she attention for a short time to let them know what they did was wrong.
Where would Pembroke spend the majority of the time:	Playing with our other dog in the apartment, evening walks and frequent visits to the dog park (until it's too cold,)
Discipline:	I would use positive reinforcement. For example, if they are barking or chewing, I would distract them to play or do another activity, and reward them that way. If they continue to exhibit the undesired behavior, I would tell them "no" and avoid giving he/she attention for a short time to let them know what they did was wrong. Where would Pembroke spend the majority of the time: Playing with our other dog in the apartment, evening walks and frequent visits to the dog park (until it's too cold,)
House dog or outside dog?	House dog
People at home during the day?	Currently there are not, however my schedule varies throughout the week. Thursdays I work from home all day, and twice a week I get out of work in the early afternoon. Weekends we are home all the time. We also plan to enroll our dog(s) in daycare.
Where would dog eat?	In the kitchen
Where would dog sleep:	Either in our bed or in it's own bed on our bedroom floow.
Play & exercise:	Evening walks 4-5 times a week, and dog park visits 2-3 times a week. Our neighbors also have friendly dogs that they can play with in the yard of our complex.
How will you exercise your dog?	Both on leash and restrained to the yard
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?	Alexa Bubalo
Willing to train children?	If we have 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?	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: