Untitled_1735 - Lakeshore Pembroke Welsh Corgi Rescue

Date & Referral Source
State:		Date of Application:	03/29/2018	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:	Any age	Gender preferred:	Either a Male or a Female	Color preferred:	Any color	Activity level:	Couch Potato, Outgoing, Quiet, Playful, Energetic, Very Active
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?	My family owned corgis while I was growing up. The first two were bought in England. Then various others came into the family, some from rescue. As an adult I have also owned corgis. Both lived long lives. I love the breed and miss their wonderful companionship.
Activities planned with Pembroke:	I would walk him regularly and take him to the park to run. I would brush him regularly. I would spend a lot of time close to him.
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 gently and calmly explain to him that this is not acceptable.
Discipline:	If that didn't work I would take a rolled up newspaper and crack it so he associates the noise with bad behaviour.
Where would Pembroke spend the majority of the time:	In the apartment.
Discipline:	If that didn't work I would take a rolled up newspaper and crack it so he associates the noise with bad behaviour. Where would Pembroke spend the majority of the time: In the apartment.
House dog or outside dog?	House dog
People at home during the day?	Yes
Where would dog eat?	In the kitchen.
Where would dog sleep:	Either on his or my bed.
Play & exercise:	I will take him to a park often. Otherwise there are large lawns at the apartment complex where he will be walked constantly.
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:	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:	No, my landlord has not given me permission to adopt a Pembroke
Restrictive covenants?	Not applicable
Breed/size restrictions?	Yes
Description of yard:	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?	Alexander Will
Willing to train children?	No children.
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?	No other pets.
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: