Untitled_1504 - Lakeshore Pembroke Welsh Corgi Rescue

Date & Referral Source
State:		Date of Application:	11/20/2017	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:	Male	Color preferred:	Red & White, Red Headed Tri, Black Headed Tri	Activity level:	Couch Potato, Outgoing, Quiet, Playful, Energetic
Other preferences:
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?	Myself
Why do you want a Pembroke?	I previously owned a purebred Pembroke corgi who was raised from 2 months old, who unfortunately died due to a sudden, undiagnosed illness. I love corgis because they are active, smart, yet very independent. The shedding and barking is not a problem to me, and i am willing to work on things such as herding mentalities, barking, stubbornness, etc.
Activities planned with Pembroke:	Daily walks in the morning and evening, trips to the dog park for running and socialization every day that’s possible, training at home including puzzles, and agility training if the dog is responsive to it.
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:	By properly correcting the Pembroke through continued training and positive reinforcement training
Discipline:	Positive reinforcement to alter negative behaviors, continuous training on things that need to be addressed.
Where would Pembroke spend the majority of the time:	In the house, potentially in his or her kennel depending on activity level, and spending time outside and at the dog park
Discipline:	Positive reinforcement to alter negative behaviors, continuous training on things that need to be addressed. Where would Pembroke spend the majority of the time: In the house, potentially in his or her kennel depending on activity level, and spending time outside and at the dog park
House dog or outside dog?	House dog
People at home during the day?	I come home for lunch brakes during the work week.
Where would dog eat?	I have fed my Corgi Purina Pro Plan in the past, but if something else was recommended it can be changed
Where would dog sleep:	In his or her kennel or in the bedroom with me.
Play & exercise:	Daily-there is a small dog park in my living community and a larger one 5 minutes away. I previously would spend time every day at the larger, community dog park with my previous corgi.
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 apartment
Landlord info:
May we contact your landlord?
Lease allow dogs:
Landlord permission:
Restrictive covenants?	No, the condo covenants do not prevent me from having a dog.
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?	Kelsey Sondgeroth
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: