Untitled_1518 - Lakeshore Pembroke Welsh Corgi Rescue

Date & Referral Source
State:		Date of Application:	11/28/2017	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, Very Active
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?	This ape broke would be for me.
Why do you want a Pembroke?	While I have not had a lot of experience with the breed, I love how they are friendly dogs that are always up for anything whether it’s a walk or laying around the house. I’ve interacted with a few pembrokes through family and friends that own them and I have done research on the breed.
Activities planned with Pembroke:	I love very close to the lake shore path, so I would love to take my pembroke on walks along the path or even to the dog beach when it’s warm as that is close as well.
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:	I would take the time to reinforce the right behavior by distracting them from the wrong behavior and repeating with them what is right. This may require discipline as well as positive reinforcement.
Discipline:	I would use isolation and time outs to reinforce when they are doing something wrong.
Where would Pembroke spend the majority of the time:	At my condo. It’s two bedrooms and two floors so plenty of room for the Pembroke during the day.
Discipline:	I would use isolation and time outs to reinforce when they are doing something wrong. Where would Pembroke spend the majority of the time: At my condo. It’s two bedrooms and two floors so plenty of room for the Pembroke during the day.
House dog or outside dog?	House dog
People at home during the day?	There are not during the week but I will be home on weekends.
Where would dog eat?	In the kitchen. There is space for food and water bowls.
Where would dog sleep:	In its own bed likely in the corner of my bedroom.
Play & exercise:	I will have a dog walker as well as family in the building that can take the Pembroke out when I’m not home. I will be able to take them out to exercise and play in the mornings and late afternoons.
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:	Own home
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?	No
Description of yard:	I live in s condo with two floors.
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?	Maria Bufalino
Willing to train children?	I do not have a child but I am willing to do this when and if I do have children.
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 I do not have any other pets
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: