Untitled_1777 - Lakeshore Pembroke Welsh Corgi Rescue

Date & Referral Source
State:		Date of Application:	04/19/2018	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:	Red & White, Red Headed Tri, Sable & White	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 AND MY 9 YEAR OLD SON
Why do you want a Pembroke?	NEW TO THE BREED I HAVE DONE MY RESEARCH ON CORGI'S. I THINK IT WOULD BE A GOOD FIT FOR MY SON AND I BECAUSE IT CAN LIVE IN AN APARTMENT BUT WILL COMFRONTABLE ON TRIPS TO MY PARENTS FARM. THEY ARE THE MOST ADORABLE DOGS.
Activities planned with Pembroke:	GO FOR WALKS AND RUNS.
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 WILL DISAPLINE DEPENDING ON THE MISTAKE MADE.
Discipline:	VOCAL, NOT YELLING BUT STERN VOICE WHEN DOG HAS DONE SOMETHING WRONG. USING DISTRACTION TO LURE THE DOG AWAY FROM WHATEVER IT IS THEY ARE DOING WRONG.
Where would Pembroke spend the majority of the time:	IN OUR HOME AND OUTSIDE OUR HOME
Discipline:	VOCAL, NOT YELLING BUT STERN VOICE WHEN DOG HAS DONE SOMETHING WRONG. USING DISTRACTION TO LURE THE DOG AWAY FROM WHATEVER IT IS THEY ARE DOING WRONG. Where would Pembroke spend the majority of the time: IN OUR HOME AND OUTSIDE OUR HOME
House dog or outside dog?	House dog
People at home during the day?	YES
Where would dog eat?	SUTIABLE FOOD FOR ITS BREED
Where would dog sleep:	PROBABLY IN BED WITH ME!
Play & exercise:	AT LEAST ONCE A DAY
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:	Yes, my landlord is fine with me owning a Pembroke
Restrictive covenants?	Not applicable
Breed/size restrictions?	Yes
Description of yard:	SMALL LAKE TO THE SIDE OF THE APARTMENTS BUT NOT WHERE I WOULD TAKE DOG TO GO TO BATHROOM. PARKING LOT IN FRONT OF APARTMENT ACESS AND YARD AREA IN BACK.
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?	ASHLEY
Willing to train children?	YES
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?	I DONT HAVE ANY 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: