Untitled_1442 - Lakeshore Pembroke Welsh Corgi Rescue

Date & Referral Source
State:		Date of Application:	10/08/2017	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:	Any age	Gender preferred:	Male, Either a Male or a Female	Color preferred:	Red Headed Tri	Activity level:	Couch Potato, Outgoing, Quiet
Other preferences:
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 – I am a single 29 year old male who works an office job in Chicago. I am looking for a companion / therapy dog (CGC). My workplace allows pets in the office and I would be bringing my potential pup to work during the week.
Why do you want a Pembroke?	A friend of mine has a pembroke that is very friendly, quite, and follows her around all the time. I really enjoy the companionship that her dog brings to her. Pembrokes are very intelligent and learn quickly. I love how active they can be and the attention they desire when being pet.
Activities planned with Pembroke:	I am looking for a companion dog. I am a smoker, so it would be therapeutic to take my pembroke out on long walks, and to the park on weekends. I work in the loop and have a workspace that allows pets in the office. I have three co-workers that the pembroke would interact with on a daily basis. There are often other dogs there as well, as well as many other office inhabitants. Its a co-working space so there are many small companies in one large office space.
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 contact the pembroke corgi club and ask for advice.
Discipline:	I've never owned a dog before or been raised with one. I would seek training for both myself and the dog at a formalized school.
Where would Pembroke spend the majority of the time:	Pembroke would spend most of its time in the office environment, at home, and walking around the neighborhood.
Discipline:	I've never owned a dog before or been raised with one. I would seek training for both myself and the dog at a formalized school. Where would Pembroke spend the majority of the time: Pembroke would spend most of its time in the office environment, at home, and walking around the neighborhood.
House dog or outside dog?	House dog
People at home during the day?	Yes – I have a roommate, but the dog would mainly be with me in the office.
Where would dog eat?	We have a sunroom in our apartment that would be our corgi's dedicated room.
Where would dog sleep:	I would get a dog bed for my corgi in the same room, or he or she can sleep in the sunroom in the summer months.
Play & exercise:	I am looking forward to taking walks with my corgi a few times a day for a minimum of fifteen minutes. On the weekends, we would spend more time together in the park. If I had too many commitments, I would get a dog walker or take my corgi to a day care so it would get the activity it needs. I do not want an upset dog.
How will you exercise your dog?	Both on leash and restrained to the yard
Fenced yard?	Yes, I have a fenced in yard.
Willing to pick up dog waste?	Yes, I will clean up after my dog.
Willing to use a crate?	Wooden fence with a gate around the back of it. Small area, 300 square feet. Shared with neighbors who also have dogs.
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:	No fixtures
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?	Daniel Berrocal
Willing to train children?	No plans on having children in the near or long term future. Single man.
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?	No Pets
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: