Untitled_1549 - Lakeshore Pembroke Welsh Corgi Rescue

Date & Referral Source
State:		Date of Application:	12/11/2017	Referred by:	Friend
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, 5 years – 10 years, 10 years +	Gender preferred:	Either a Male or a Female	Color preferred:	Any color	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've grown up around a very close family friend who would only adopt Corgi's. I have loved each of their two Corgi's. They have always been the cutest of all dog breeds to myself. I love their size and that they would be able to sit on my lap without crushing me. I like that they can be both lazy bums and endless balls of energy on some days. They all look so gorgeous and have the cutest little smiles on their faces. I've done some research on their breed, mostly that they are easy to train and very intelligent
Activities planned with Pembroke:	Runs/Walks, Playing catch, let it sleep in my bed when my girlfriend isn't around(she doesn't want a dog in bed) The usual dog like things(talking to it expecting a response, belly rubs, etc.)
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:	If I catch them in the act I would probably use my voice to shock them and take a stern posture and "aggressive" voice to show that it is a bad behavior. If I find it later I would grab the chewed up tissue or trash can and show it to the dog asking them who did this? I would try to teach him the difference between good and bad behaviors by rewarding positive things to teach him good behaviors, and by punishing him for the bad ones.
Discipline:	Time-Outs Scoldings Taking toys away
Where would Pembroke spend the majority of the time:	In my Condo
Discipline:	Time-Outs Scoldings Taking toys away Where would Pembroke spend the majority of the time: In my Condo
House dog or outside dog?	House dog
People at home during the day?	I leave at 730am my girlfriend leaves at 830am. They would unfortunately be at home until 420-430pm
Where would dog eat?	In our kitchen
Where would dog sleep:	In his or her bed on the bedroom floor mostly.
Play & exercise:	Once or twice a day would go for a walk. The morning and evening walks. And every night they would get to play with toys/interact with us.
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:	We have a 900ft Condo and the outside is some grass with a sidewalk.
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?	Myself Mark
Willing to train children?	Yes
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 would
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: