Untitled_1446 - Lakeshore Pembroke Welsh Corgi Rescue

Date & Referral Source
State:		Date of Application:	10/09/2017	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:	Outgoing, Playful, Energetic, Very Active
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?	Me
Why do you want a Pembroke?	I have always had a passion for corgis and I finally feel ready, responsible, and financially ready to adopt a corgi. I love their short cute little legs, their big butts, and cute ears. I dont have any experiences with this specific breed, but I have done my research.
Activities planned with Pembroke:	go for a walk, play catch, take it to the dog park, go on awesome adventures.
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:	keep practicing methods to train him to further gain for obedience.
Discipline:	I personally use a reward system with my current dog.
Where would Pembroke spend the majority of the time:	At my apartment, I have a lot of free time so it will be outside a lot with me having fun.
Discipline:	I personally use a reward system with my current dog. Where would Pembroke spend the majority of the time: At my apartment, I have a lot of free time so it will be outside a lot with me having fun.
House dog or outside dog?	House dog
People at home during the day?	Yes, my dad is retired and is around the house for most of the day playing with our current dog.
Where would dog eat?	in the kitchen where he has his own little spot.
Where would dog sleep:	in my bed or somewhere in the room if he likes a certain spot.
Play & exercise:	I will bring my dog to a dog park to interact with different dogs, I can also bring my dog to my local park where him and I can play catch and run around together. We will play/exercise at my front yard where theres a football sized field.
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:	Own home
Landlord info:
May we contact your landlord?
Lease allow dogs:
Landlord permission:
Restrictive covenants?	Not applicable
Breed/size restrictions?	No
Description of yard:	It is a giant field. There are a lot of trees.
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?	John Escritor
Willing to train children?	I currently do not have a child, but when the time comes, I will.
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 will make sure they get along and become best friends.
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: