Untitled_1510 - Lakeshore Pembroke Welsh Corgi Rescue

Date & Referral Source
State:		Date of Application:	11/23/2017	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	Gender preferred:	Male	Color preferred:	Any color	Activity level:	Outgoing, Quiet, Playful
Other preferences:	Potty trained.
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?	Our family. My mom and I.
Why do you want a Pembroke?	My friend has a corgi and after spending a lot of time walking it and playing with it we learned a lot about the breed and fell in love we are now hoping of having our own.
Activities planned with Pembroke:	We would love to Walk it, play with it, take it out to parks and spend lots of time together!
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:	We will immediately say a firm no! And show it the right way to do it. For example if it pees in the wrong place we say no and then take it outside or to the correct place to pee.
Discipline:	We will say no and show it how to correct his mistake. We will need to have patience and just try to teach it the right way.
Where would Pembroke spend the majority of the time:	At our home.
Discipline:	We will say no and show it how to correct his mistake. We will need to have patience and just try to teach it the right way. Where would Pembroke spend the majority of the time: At our home.
House dog or outside dog?	House dog
People at home during the day?	Sometimes, whenever we don't go to school or work from home ( my mom stays at least once or twice a week)
Where would dog eat?	Out of its bowls one for water one for food.
Where would dog sleep:	In its bed, we are planning to give it two beds in the house.
Play & exercise:	We will take it on walks around the community and play with it, our community has a playground and a lot of land to run around and play in.
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:	Apartment
Landlord info:
May we contact your landlord?
Lease allow dogs:
Landlord permission:
Restrictive covenants?	Not applicable
Breed/size restrictions?	No
Description of yard:	Not applicable.
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?	Fanny Figueroa
Willing to train children?	Yes we are the youngest is 16 and has had past experience with pets at home.
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?	Not Applicable
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: