Untitled_1564 - Lakeshore Pembroke Welsh Corgi Rescue

Date & Referral Source
State:		Date of Application:	12/27/2017	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, 3 years – 5 years, 5 years – 10 years	Gender preferred:	Either a Male or a Female	Color preferred:	Any color	Activity level:	Couch Potato, Outgoing, Quiet, Playful
Other preferences:	I will be in a house with other dogs and kids. I am looking for a dog to be an ESA and to train to be a therapy animal.
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?	Rebecca
Why do you want a Pembroke?	I would like to adopt a corgi because it is a breed that has been recommended as fitting with my wants when it comes to an animal companion. I want a happy and cuddly dog who loves to play but won't wear me out. I want a good family dog. My experiences with corgis have been that they are wonderful companion dogs who love to be with their people and are good with kids. They are bouncy little beans who have energy but not have such extreme exercise needs that I will be unable to meet.
Activities planned with Pembroke:	Walks, fetch, tug, snuggles, errands, social visits
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:	Gentle correction and encouragement for a positive, replacement behavior. Potentially a stern "no" if required and Corgi is caught in the act.
Discipline:	I prefer positive reinforcement to discipline. If the dog would be caught in the act (such as I caught them peeing in the carpet or chewing on a rug) I would interrupt it and redirect the behavior (bring them outside to finish peeing, remind them where the toys are).
Where would Pembroke spend the majority of the time:	With me.
Discipline:	I prefer positive reinforcement to discipline. If the dog would be caught in the act (such as I caught them peeing in the carpet or chewing on a rug) I would interrupt it and redirect the behavior (bring them outside to finish peeing, remind them where the toys are). Where would Pembroke spend the majority of the time: With me.
House dog or outside dog?	House dog
People at home during the day?	ayes
Where would dog eat?	In the kitchen, on the floor.
Where would dog sleep:	In my bed! 🙂
Play & exercise:	I will have buckets of toys laying around and a fenced in yard we can go out to play in. I am also planning on regular walks with my corgi, and playdatws with other dogs.
How will you exercise your dog?	Both on leash and restrained to the yard
Fenced yard?	Yes, I have a fenced in yard.
Willing to pick up dog waste?	Yes, I will clean up after my dog.
Willing to use a crate?	Tall and all encompassing
Living arrangements:	Living with family who owns the home
Landlord info:
May we contact your landlord?
Lease allow dogs:
Landlord permission:
Restrictive covenants?	Not applicable
Breed/size restrictions?	No
Description of yard:	Landscaped yard with no fixtures
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?	Rebecca
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: