Untitled_1453 - Lakeshore Pembroke Welsh Corgi Rescue

Date & Referral Source
State:		Date of Application:	10/14/2017	Referred by:	Other
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)	Gender preferred:	Male	Color preferred:	Any color	Activity level:	Other (Please describe in the box below.)
Other preferences:	Needs to get along well with other animals to include a dog, rabbits and birds.
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?	The Pembroke will be for me Christopher John Sandri.
Why do you want a Pembroke?	Besides the fact that I adore corgis, I have heard outstanding things about having a corgi as a service dog. I first heard about using a corgi as a service dog from a following site, http://www.myassistancedoginc.org/assistance-dog-breeds-about-cardigan-and-pembroke-welsh-corgis/. I haven't personally had a lot of experience with the Pembroke breed. I am spending the time I get to read up on the welsh breeds.
Activities planned with Pembroke:	Overall the Pembroke would travel with me to work and home. It will be my service dog to help me with my hearing impairment and also as my PTSD service dog. When I am not working I am like to hike and train for marches I participate in so there shouldn't be a shortage of exercise.
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:	The same way we control our current dog. We redirect her to a more appropriate activity. We use consistent and positive reinforcement for good behavior.
Discipline:	When our current dog requires discipline we just the same method of redirection. When she does something wrong we have a doggy time out set up in a room. When she does something wrong of a certain level she is placed in the room long enough to understand that she did something wrong and it was incorrect.
Where would Pembroke spend the majority of the time:	He would spend a majority his time with me at work and at home.
Discipline:	When our current dog requires discipline we just the same method of redirection. When she does something wrong we have a doggy time out set up in a room. When she does something wrong of a certain level she is placed in the room long enough to understand that she did something wrong and it was incorrect. Where would Pembroke spend the majority of the time: He would spend a majority his time with me at work and at home.
House dog or outside dog?	House dog
People at home during the day?	There is usually someone home at all times.
Where would dog eat?	If all goes well he would have his dish in the kitchen where our dogs bowls are. We have a 14 room house so we have the ability to give the Pembroke and our current dog separate feeding areas.
Where would dog sleep:	Either on the bed with me or in its own bed next to my side of the bedroom. Unless both dogs hit it off right away. Then they might get their own room eventually.
Play & exercise:	There is plenty of room in our house to run around. We will have a fenced in backyard. I will start regularly training for charity road marches I do yearly so the corgi can walk with me on my training days. Then there will be regular walks and a playing in the park. Eventually I plan to buy land for homesteading so there will be a large private area to roam when the time comes.
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:	No pools. 1 fenced in section with a Apple tree. Several non-fenced in sections with outbuildings. The fenced in section is away from the road. The dogs will have access to both the house or garage to get out of the elements.
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?	Christopher John Sandri
Willing to train children?	I will take all the time nessesary to teach my child/children how to treat animals and respect animals. I want them to learn how to care for and nurture 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 any issues that may arise when the time comes.
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: