Untitled_1566 - 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:	Outgoing, 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, Steve Maslan
Why do you want a Pembroke?	I am interested in a small active dog with a strong personality, but the athleticism to back it up. I have fostered several dozen small ~25lb dogs over the past decade, most of which have been terrier types. The intelligence, athleticism and work ethic of PWCs are what drive my interest in them.
Activities planned with Pembroke:	I live in a small fishing town in central Wisconsin; there are trails and parks everywhere that I frequent with my family dog. I would cherish the opportunity to travel and venture with a corgi by my side.
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 the dog makes a mistake, it is likely an event I allowed to happen and did not properly prepare for. Before anything else, I would consider the options that I myself am responsible for to prevent frequent occurrences. After this consideration, I would give stern vocal command showing my displeasure, but not too loud. If possible I will offer and encourage alternate behaviors to prevent harmful mistakes.
Discipline:	In regards to house training, I begin with appraisal/attention and treat reward interactions (ie when potty training.) However, I am aware that corgis are prone to weight gain, so i will lean towards appraisal and providing “a job” for my corgi to reward him/her.
Where would Pembroke spend the majority of the time:	The first week will be the only time spent with a crate to ensure a safe space and acclimation to a new environment. Afterwards, I will progressively increase his/her roaming area to my extended bedroom and then the house.
Discipline:	In regards to house training, I begin with appraisal/attention and treat reward interactions (ie when potty training.) However, I am aware that corgis are prone to weight gain, so i will lean towards appraisal and providing “a job” for my corgi to reward him/her. Where would Pembroke spend the majority of the time: The first week will be the only time spent with a crate to ensure a safe space and acclimation to a new environment. Afterwards, I will progressively increase his/her roaming area to my extended bedroom and then the house.
House dog or outside dog?	House dog
People at home during the day?	No. I live 10min from home so will come back during day
Where would dog eat?	I tend to keep dogs food bowls in the kitchen, separate of sleeping area.
Where would dog sleep:	My corgi will sleep in my room with an open crate; he/she will have the option to sleep in bed with me or wherever they find most comfortable in the room.
Play & exercise:	I am an early riser and be able to exercise my dog for up to an hour every morning, an hour at lunch, and undivided attention when I return from work
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:	Own home
Landlord info:
May we contact your landlord?
Lease allow dogs:
Landlord permission:
Restrictive covenants?	Not applicable
Breed/size restrictions?	No
Description of yard:	Roughly one acre back yard lakeshore property. Invisible fence is installed but not used for family dog (she is very good about remaining in yard.)
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?	Steve Maslan
Willing to train children?	Not applicable, no children in home.
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. Cricket has been with us the entire time we have fostered dogs for the past decade. She has never fought or had negative friction with a dog and is very good and getting them acclimated to a new home.
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: