Untitled_1790 - Lakeshore Pembroke Welsh Corgi Rescue

Date & Referral Source
State:		Date of Application:	04/26/2018	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:	Female	Color preferred:	Any color	Activity level:	Couch Potato, Outgoing, Quiet, Playful
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?	I love the breed because they are intelligent and playful. I like that they are small enough to have anywhere.
Activities planned with Pembroke:	I would take my Pembroke to the dog park that I have at my apartment building daily and I would play fetch with it. I would also take it on walks and just love on it when we’re both too tired to do anything else.
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 speak to it in a stern voice, show it what it did wrong and then place it in its kennel for a reasonable amount of time.
Discipline:	I kennel train so that if they make a mistake they will have a time out of sorts. I also use a different voice when disciplining than I do when commending or playing with the dog.
Where would Pembroke spend the majority of the time:	The Pembroke would spend its time in the same room as me when I am home. When I first get the dog it will be in a kennel when I am not home just until I can ensure that it is house broken and will not chew anything up. After I feel comfortable with it’s training, it will be free to roam the apartment when I am not home.
Discipline:	I kennel train so that if they make a mistake they will have a time out of sorts. I also use a different voice when disciplining than I do when commending or playing with the dog. Where would Pembroke spend the majority of the time: The Pembroke would spend its time in the same room as me when I am home. When I first get the dog it will be in a kennel when I am not home just until I can ensure that it is house broken and will not chew anything up. After I feel comfortable with it’s training, it will be free to roam the apartment when I am not home.
House dog or outside dog?	House dog
People at home during the day?	No
Where would dog eat?	In the kitchen, it will have have a bowl for food and water in a location that is easily accessible but not close to anything else that it may mistake as food. It will also eat separately from my other dog so that there is no completion for food.
Where would dog sleep:	Either in a dog bed beside my bed or in their kennel.
Play & exercise:	I have a dog park at my apartment which is fenced in and allows dogs to play off of the leash so he/ she would be able to play there for about an hour a day. For the rest of the day I would periodically take the dog on walks.
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:	I rent an apartment
Landlord info:
May we contact your landlord?
Lease allow dogs:
Landlord permission:
Restrictive covenants?	No, the condo covenants do not prevent me from having a dog.
Breed/size restrictions?	Yes
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?	Mikaela Clark (Myself)
Willing to train children?	Yes, but I do not have children.
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: