Untitled_1393 - Lakeshore Pembroke Welsh Corgi Rescue

Date & Referral Source
State:		Date of Application:	09/11/2017	Referred by:	Friend
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:	Male	Color preferred:	Red & White	Activity level:	Outgoing, Playful, Energetic
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?	This Pembroke is for my boyfriend and I. We both have always wanted to get a corgi, however, we would much rather prefer to rescue/adopt than go to a breeder.
Why do you want a Pembroke?	We would like to adopt a Pembroke Welsh Corgi because both of us have always loved the breed. I grew up with a close friend of mine who's family owned corgis my entire childhood. I remember always going over there and enjoying the presence of their dogs. The corgi's were always super friendly and playful, something everyone wants in their dog and made me want to own a corgi when I grew up. Aside from their awesome personality, corgi's seem like dogs that like to be active — meaning always having a buddy to go on a walk with or taking trips to the dog beach.
Activities planned with Pembroke:	We would take our Pembroke to dog parks, on daily walks and when the weather permitted to the dog beach. We would also play with him everyday when we got home, whether that be inside of our household or outside. We are pretty active people and want to keep an active relationship with our dog as well.
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:	If I caught the dog in the act I would make a loud noise to distract the dog from whatever it was doing. For example, if the dog was chewing on one of our shoes, I would simply yell it's name and say "no", or smacking our hands on the table to get the attention off of the shoe.
Discipline:	Time outs: putting the dog in the crate after doing something it shouldn't. Temporarily ignore: Dogs are very social animals, so by its owner not giving it attention it will learn to obey what the owner wants.
Where would Pembroke spend the majority of the time:	Weekends and evenings the dog would spend the majority of its time outside or playing inside with the owners. During the days the dog would be able to roam around the household in a cage free environment, while being checked on throughout the day by the owners.
Discipline:	Time outs: putting the dog in the crate after doing something it shouldn't. Temporarily ignore: Dogs are very social animals, so by its owner not giving it attention it will learn to obey what the owner wants. Where would Pembroke spend the majority of the time: Weekends and evenings the dog would spend the majority of its time outside or playing inside with the owners. During the days the dog would be able to roam around the household in a cage free environment, while being checked on throughout the day by the owners.
House dog or outside dog?	House dog
People at home during the day?	There would be an owner at the house during the day 75% of the time.
Where would dog eat?	In the kitchen where its water and food dish would be.
Where would dog sleep:	Where ever it wanted, whether that be in its dog bed or in the owners' bed.
Play & exercise:	We will take our corgi on daily walks as well as to a local dog park (~2 blocks away) so it can interact with other dogs. The dog will get to play and exercise daily.
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?
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:	We have an open courtyard adjacent to our building that the Pembroke can play in, but the majority of it's outside play time would consist of walks and dog parks.
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?	Callie Mazurek
Willing to train children?	N/A
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?	N/A
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: