Untitled_1503 - Lakeshore Pembroke Welsh Corgi Rescue

Date & Referral Source
State:		Date of Application:	11/17/2017	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, Playful, Energetic, Very Active
Other preferences:	Must get along with cats.
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?	This Pembroke Corgi would be for me. I am 33 and live alone with 2 cats. I'm looking for a Corgi that loves people and would be happy to join me for walks around downtown and hiking. I have a fenced in yard as well for the Corgi to run around and play in.
Why do you want a Pembroke?	I haven't spent much time with a Corgi, but based on my research, I believe they would be the perfect pet for me. I am looking for a dog that is smaller in stature, active and likes to be social. I have several friends and family members with children, so I want a dog that is good with people. I admire the Corgi love-ability, loyalty and protective traits.
Activities planned with Pembroke:	We would… go for walks around the neighborhood/downtown play with niece and nephew, and friends children hiking (not long hikes) run around the fenced-in yard and play with toys cuddle-up on the couch and watch movies teach the dog tricks to challenge its intellegence
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:	Generally, I would calmly redirect and reward the dog when it behaves positively.
Discipline:	Verbally telling the dog no, redirecting, reinforcing positive behavior.
Where would Pembroke spend the majority of the time:	I work from 8-5 so the Pembroke would mostly be home during the day. Depending on what is best for the animal, I am happy to work to crate train the Pembroke or allow it to roam the house while I am gone. On the weekends, I am mostly at home and would be spending plenty of quality time with the dog.
Discipline:	Verbally telling the dog no, redirecting, reinforcing positive behavior. Where would Pembroke spend the majority of the time: I work from 8-5 so the Pembroke would mostly be home during the day. Depending on what is best for the animal, I am happy to work to crate train the Pembroke or allow it to roam the house while I am gone. On the weekends, I am mostly at home and would be spending plenty of quality time with the dog.
House dog or outside dog?	House dog
People at home during the day?	No
Where would dog eat?	Grain free dry food.
Where would dog sleep:	In a dog bed
Play & exercise:	I would take the dog for long walks in the morning and have some outside time in my front fenced-in yard playing catch or tug-of-war. In the afternoon, I would take the dog for a walk and play outside again. During the weekends, I generally like to be more active and imagine going hiking and spending more time outside.
How will you exercise your dog?	On leash
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?	I have two types of fences. In the front yard, I have a wooden fence that is approximately 3 1/2 feet high. The back fence is a chain-linked fence that is taller than the front.
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:	I have a front yard and a back yard. Both are big enough for the dog to run around in.
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?	Jennifer Perkins
Willing to train children?	Yes
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
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: