Untitled_1394 - Lakeshore Pembroke Welsh Corgi Rescue

Date & Referral Source
State:		Date of Application:	09/12/2017	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, Sable & White	Activity level:	Couch Potato, Outgoing, Quiet, Playful, Energetic
Other preferences:	Must be good with cats.
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?	Myself and my children.
Why do you want a Pembroke?	I have interacted with Corgis on a basic level, and I have done research. I am interested in them for several reasons, including the fact that they are an intelligent herding breed, but because of their short legs do not require consistent strenuous exercise. I don't prefer small dogs, but we live in an apartment making a corgi's small stature ideal, without being a true "small dog." I also find them beautiful and as an Anglophile, I appreciate their association with the Royal Family.
Activities planned with Pembroke:	While not a high-activity family, we do walk often. I have a teenager and a ten-year-old, both of whom enjoy walking, as do I. We make frequent trips to parks. We also have a dog park with agility rings in our apartment complex that we would be taking our dog to play with.
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:	Redirection and positive reinforcement for the correct behavior. I will be seeking obedience classes at a place in town that my family has used.
Discipline:	Positive and negative reinforcement, so rewarding good behavior and withholding rewards when bad behavior occurs, whether the reward is treat or attention-based.
Where would Pembroke spend the majority of the time:	In my home.
Discipline:	Positive and negative reinforcement, so rewarding good behavior and withholding rewards when bad behavior occurs, whether the reward is treat or attention-based. Where would Pembroke spend the majority of the time: In my home.
House dog or outside dog?	House dog
People at home during the day?	Four days of the week there are people home all day, three days I am gone until late afternoon.
Where would dog eat?	In the kitchen.
Where would dog sleep:	Anywhere in the house.
Play & exercise:	Walks around our neighborhood, playing in our dog park, trips to parks, visits to family with large yards.
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.
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?	Amanda
Willing to train children?	Absolutely. I have always set clear expectations with my children for the proper treatment of 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, I am willing to resolve this problem.
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: