Untitled_1728 - Lakeshore Pembroke Welsh Corgi Rescue

Date & Referral Source
State:		Date of Application:	03/27/2018	Referred by:	Other
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	Gender preferred:	Either a Male or a Female	Color preferred:	Red & White, Red Headed Tri	Activity level:	Couch Potato, Outgoing, Quiet, Playful, Energetic, Very Active
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?	Tia!!
Why do you want a Pembroke?	I specifically want to adopt a corgi because I’ve always loved them asthetically; however, I am not ready for a big dog, but I want to be prepared for the level of activity that bigger dogs need. I think that corgis are perfect for me to adjust to having an active pet. I currently live with another dog, have actively taken care of her, and I feel like I am ready to own a Pembroke.
Activities planned with Pembroke:	I go on walks down the lake almost every day. My Pembroke would be accompanying me. I also like to skate.
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 immediately correct the behavior via classical conditioning
Discipline:	Classical conditioning. Reinforcement via treats. Using tone. Etc
Where would Pembroke spend the majority of the time:	If I’m outside they will be there. Otherwise they will be with me in my room. I would hire a dog walker during the day if work gets in the way too much.
Discipline:	Classical conditioning. Reinforcement via treats. Using tone. Etc Where would Pembroke spend the majority of the time: If I’m outside they will be there. Otherwise they will be with me in my room. I would hire a dog walker during the day if work gets in the way too much.
House dog or outside dog?	House dog
People at home during the day?	Yes
Where would dog eat?	Home
Where would dog sleep:	In my room
Play & exercise:	I love to be out doors so my dog would accompany me whenever. I also like to skate board. I understand that playing and petting is essential to a dogs well being.
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?	It is big and wooden
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?	No, the condo covenants do not prevent me from having a dog.
Breed/size restrictions?	No
Description of yard:	Na
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?	Tia
Willing to train children?	Yes
Any allergies?	One or more family members might be allergic to dogs.
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: