Untitled_1609 - Lakeshore Pembroke Welsh Corgi Rescue

Date & Referral Source
State:		Date of Application:	01/25/2018	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:	Outgoing, Playful, Energetic
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 Pemboke is for me
Why do you want a Pembroke?	Since I was a child, I’ve always wanted a Pemboke. I’ve always bonded well with Pembokes because they are a very energetic, active, and lovable breed. I have a big loves for dogs but Pemboke Corgis always have a special place in my heart. I even have a Corgi button-up shirt that I love to wear! Doing extensive research on Corgis along with interacting well with any Corgi I come in contact with has solidified in my mind that a Corgi is the perfect fit for me.
Activities planned with Pembroke:	Because I live in a well-populated area, I would take my Pemboke to any of the dog parks in my area (there is one only a couple minutes away from where I live). Also, there’s a nature trail down the street that I would take my Pemboke to so they can be active. I would also take them on doggy play-dates with the other dogs in my family. I have a big Greek family that’s full of dog lovers and dogs.
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 handle a mistake by first using the distraction method by banging my hand on a counter (or table) to get their attention, then I would take the proper actions accordingly.
Discipline:	I would use the distraction method, using a stern voice, and the isolation method of discipline. These methods have worked great on the other dogs that I’ve had in the past.
Where would Pembroke spend the majority of the time:	My Pemboke would spend most of their time either at home, or with my cousin and his dog. Also at work we allow dogs all the time; in which case, I could bring them to work with me as well
Discipline:	I would use the distraction method, using a stern voice, and the isolation method of discipline. These methods have worked great on the other dogs that I’ve had in the past. Where would Pembroke spend the majority of the time: My Pemboke would spend most of their time either at home, or with my cousin and his dog. Also at work we allow dogs all the time; in which case, I could bring them to work with me as well
House dog or outside dog?	House dog
People at home during the day?	Yes. I have two other roommates and their schedules vary from mine. Most of the time, there will always be someone home.
Where would dog eat?	In the kitchen
Where would dog sleep:	In my bedroom
Play & exercise:	Of course! They would receive at least an hours day
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?	No, you may not 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?	No
Description of yard:	I 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?	Parry Papamihalakis
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: