Untitled_1473 - Lakeshore Pembroke Welsh Corgi Rescue

Date & Referral Source
State:		Date of Application:	10/26/2017	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:	1 year – 3 years, 3 years – 5 years	Gender preferred:	Either a Male or a Female	Color preferred:	Any color	Activity level:	Outgoing, Quiet, Playful, Energetic
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?	Jess Kawabata and Drew Warnick
Why do you want a Pembroke?	We've interacted with this breed and love the balance we've seen – energetic, yet easily curl into a comfy corner. Their personalities can be quirky and think they would fit our lifestyle.
Activities planned with Pembroke:	Hiking, dog beach, slow jogs (think, 11 minute miles), walks around the neighborhood for doggie play dates
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:	By addressing the action immediately with a firm "No". Bad dog.
Discipline:	Positive reinforcement and any additional methods we can learn from obedience training
Where would Pembroke spend the majority of the time:	Home during the week. Exploring outdoors with us on the weekends. We also often visit family in Michigan and would bring the dog with us.
Discipline:	Positive reinforcement and any additional methods we can learn from obedience training Where would Pembroke spend the majority of the time: Home during the week. Exploring outdoors with us on the weekends. We also often visit family in Michigan and would bring the dog with us.
House dog or outside dog?	House dog
People at home during the day?	No
Where would dog eat?	In the the kitchen
Where would dog sleep:	Crate or doggie bed
Play & exercise:	Daily walks around the neighborhood. Dog beach/dog parks on the weekends. Many of our friends have dogs and we would love to socialize them together often.
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?	No
Description of yard:	NA
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?	Split responsibility (Drew/Jess)
Willing to train children?	NA
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: