Untitled_1541 - Lakeshore Pembroke Welsh Corgi Rescue

Date & Referral Source
State:		Date of Application:	12/06/2017	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:	Any age	Gender preferred:	Either a Male or a Female	Color preferred:	Any color	Activity level:	Couch Potato, Outgoing, Quiet, Playful, Energetic
Other preferences:	We live on the third floor so pups that are not great with stairs would have a difficult time getting in and out of our home.
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?	My boyfriend and myself are looking for a new family member.
Why do you want a Pembroke?	I have done research on the breed and their general characteristics seem to fit perfectly with Steve and I's life. I have met a handful of corgis – one of my close friends has a sweetie and I would kidnap him if I could.
Activities planned with Pembroke:	long walks, fetch and frisbee, training to walk without a leash, hiking, camping, swimming
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:	firmly tell him/her no and direct their attention elsewhere after they have stopped whatever the "mistake" behavior was. Goal would be for pup to learn 'no'
Discipline:	firm but friendly, rewarding good behavior with affection and occasional treats and affection,
Where would Pembroke spend the majority of the time:	with me at my work and at home with Steve and I. occasionally with family members as well.
Discipline:	firm but friendly, rewarding good behavior with affection and occasional treats and affection, Where would Pembroke spend the majority of the time: with me at my work and at home with Steve and I. occasionally with family members as well.
House dog or outside dog?	House dog
People at home during the day?	No but we would be willing to hire a dog walker if I am unable to bring pup to work.
Where would dog eat?	In the kitchen of our home
Where would dog sleep:	In their crate or dog bed in the living room of our home
Play & exercise:	minimum of 1 hour per day, long walk in the morning before work, long walk when we get home, possibly at lunch / throughout the day when I can bring pup to work with me. Play whenever possible outside.
How will you exercise your dog?	Both on leash and restrained to the yard
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?	Yes, you may contact my landlord.
Lease allow dogs:	Yes, my lease permits dogs.
Landlord permission:	Yes, my landlord is fine with me owning a Pembroke
Restrictive covenants?	Not applicable
Breed/size restrictions?	Yes
Description of yard:	We live in an apartment.
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?	Megan Conway
Willing to train children?	We don't have children yet but that is the plan if we have any in the future.
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
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: