Untitled_1751 - Lakeshore Pembroke Welsh Corgi Rescue

Date & Referral Source
State:		Date of Application:	04/05/2018	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:	1 year – 3 years, 3 years – 5 years	Gender preferred:	Either a Male or a Female	Color preferred:	Any color	Activity level:	Couch Potato, Outgoing, Quiet, Playful
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?	For Alex and I. We'd like to rescue one as our family dog.
Why do you want a Pembroke?	Alex and I have found a PWC’s temperament in line with what we are looking for. We would like an active dog outside, but more of a companion when inside. Aside from being adorable, they are a hearty breed.
Activities planned with Pembroke:	We feel that a PWC can keep up with our semi-active lifestyle, walks in the city, going to the beach a block away from our apartment, yet still enjoy a nice night just watching Netflix.
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:	I would firmly say "no" and show it in my facial expression my disdain.
Discipline:	Tell them to "stop" and reiterate "no". I would give them a time-out and not give them affection to show what they did was wrong.
Where would Pembroke spend the majority of the time:	In our apartment or grandma's house.
Discipline:	Tell them to "stop" and reiterate "no". I would give them a time-out and not give them affection to show what they did was wrong. Where would Pembroke spend the majority of the time: In our apartment or grandma's house.
House dog or outside dog?	House dog
People at home during the day?	No, but Alex gets home earlier in the day than I do. During the times we are working we plan on dropping our PWC off with grandma and picking him us after.
Where would dog eat?	On the kitchen floor.
Where would dog sleep:	In a dog bed in our room.
Play & exercise:	We have access to a beach and dog parks in our neighborhood. In addition, we walk to stores all the time so our PWC would come with us when we run errands.
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?
Lease allow dogs:	Yes, my lease permits dogs.
Landlord permission:
Restrictive covenants?	Not applicable
Breed/size restrictions?	No
Description of yard:	N/A
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?	Both of us
Willing to train children?	N/A
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: