Untitled_1455 - Lakeshore Pembroke Welsh Corgi Rescue

Date & Referral Source
State:		Date of Application:	10/14/2017	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, 3 years – 5 years, 5 years – 10 years	Gender preferred:	Either a Male or a Female	Color preferred:	Any color	Activity level:	Couch Potato, Outgoing, Quiet, Playful
Other preferences:	Will be registered as an Emotional Support Animal
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
Why do you want a Pembroke?	I think Pembroke Welsh Corgi's are the perfect breed for me. They are affectionate and love people. They can be stubborn, like me, but I also have the patience to train such a dog. I have multiple friends with Corgis and have interacted with them on numerous occasions. I feel confident after doing hours of research that this is the right breed for me.
Activities planned with Pembroke:	Lots of walks and playtime around my university's campus. There is green space to explore and plenty of people to socialize with. We will go for walks in my quiet neighborhood and play in our yard. We will also have plenty of down time inside, with snuggles on the couch.
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:	An accident in the house would be cleaned up immediately and the Pembroke taken outside to go to the bathroom. I would not discipline a dog while house training them, only praising them when they go to the bathroom outside.
Discipline:	I use stern verbal commands, such as "No."
Where would Pembroke spend the majority of the time:	In the living/dining area of the house.
Discipline:	I use stern verbal commands, such as "No." Where would Pembroke spend the majority of the time: In the living/dining area of the house.
House dog or outside dog?	House dog
People at home during the day?	Yes
Where would dog eat?	In the kitchen.
Where would dog sleep:	In his or her crate in my room.
Play & exercise:	I live with 5 roommates who will engage in activity daily with our corgi. I will also bring him/her to campus where they can walk and play with new people.
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:	Not fenced. Apartment on the first floor of the 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?	Sara Bruce
Willing to train children?	Yes
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?	Yes
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: