Untitled_1471 - Lakeshore Pembroke Welsh Corgi Rescue

Date & Referral Source
State:		Date of Application:	10/25/2017	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:	Red & White, Red Headed Tri, Black Headed Tri	Activity level:	Couch Potato, Outgoing, Playful, Energetic
Other preferences:	My daughter is 15 months old at the moment, I want to give her a pup as an Christmas gift. So the younger the better, she loves dogs and I definitely want her to grow up with one.
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?	For myself and for my daughter
Why do you want a Pembroke?	They're extremely playful! My friend has 2 in Milwaukee, WI and I absolutely loved them. The biggest thing is that I want my daughter to have a best friend, she's only 1 at the moment, and I think this would be a perfect match for her.
Activities planned with Pembroke:	Jogging, take them out for play time, dog parks, dog beaches, etc.
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'd sternly raise my voice and speak to them and point it out.
Discipline:	I'd firmly, but yet gently 'tap' their head, waive no, etc. I'd train them by giving them treats, and instant gratification as well.
Where would Pembroke spend the majority of the time:	out roaming my home. I'd only crate my dog during the first few months of training. As soon as my dog is fully trained, I'd let him/her roam free.
Discipline:	I'd firmly, but yet gently 'tap' their head, waive no, etc. I'd train them by giving them treats, and instant gratification as well. Where would Pembroke spend the majority of the time: out roaming my home. I'd only crate my dog during the first few months of training. As soon as my dog is fully trained, I'd let him/her roam free.
House dog or outside dog?	House dog
People at home during the day?	Yes- my mom works from home. My daughter is with me every other weekend as well.
Where would dog eat?	In the kitchen
Where would dog sleep:	During the first few months, in the crate. As soon as he/she is trained, I'll buy a bed and they can sleep by myself, or by my mom
Play & exercise:	I have a fenced backyard. I'd also take my corgi on my daily walks as well.
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?	Metal Spokes. All around
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 swimming pool. It's a pretty open yard, we have a patio as well. Fenced off, just a few pieces of yard furniture and a grill. But other than that. The yard is well maintained
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?	Brian Larroza
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?	NA
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: