Untitled_1493 - Lakeshore Pembroke Welsh Corgi Rescue

Date & Referral Source
State:		Date of Application:	11/10/2017	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:	Couch Potato, Outgoing, Quiet, Playful, Energetic
Other preferences:	Friendly towards cats
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?	Both of us
Why do you want a Pembroke?	We both love the breed, for their playfulness, intelligence and great abundance of affection towards their families.
Activities planned with Pembroke:	Playing with toys, walks around our neighbouring parks, trips to Chicago, and other family vacations, high doses of cuddle sessions and general fun.
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:	Lots of training and adequate use time out sessions
Discipline:	Time outs, squirter bottles, and isolation
Where would Pembroke spend the majority of the time:	In our apartment
Discipline:	Time outs, squirter bottles, and isolation Where would Pembroke spend the majority of the time: In our apartment
House dog or outside dog?	House dog
People at home during the day?	Mostly Monday-Friday my fiancee works 8am-5pm and I work Sunday-Thursday 11am-8pm
Where would dog eat?	In the kitchen
Where would dog sleep:	In the bedroom in a dog bed or I'm the living room
Play & exercise:	Everyday before walks before and after work, as well as eachildren weekend
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?
Lease allow dogs:	Yes, my lease permits dogs.
Landlord permission:
Restrictive covenants?	Not applicable
Breed/size restrictions?	Yes
Description of yard:	N/a
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?	Adam Johnson
Willing to train children?	We do not have children but will educate children that we regularly come across being our nieces and nephews
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 we will work hard to keep our petsite happy even if they do not get along
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: