Untitled_1796 - Lakeshore Pembroke Welsh Corgi Rescue

Date & Referral Source
State:		Date of Application:	04/30/2018	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:	0 months – 1 year (we rarely get dogs in this age group), 1 year – 3 years, 3 years – 5 years	Gender preferred:	Either a Male or a Female	Color preferred:	Red & White, Red Headed Tri	Activity level:	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?	For myself.
Why do you want a Pembroke?	The Pembroke Welsh Corgi’s mission in life is to please their owner. I would like a small and manageable dog that will obey commands and be receptive to my training. Having a corgi will enable me to go on many walks and play dates with other dogs.
Activities planned with Pembroke:	– Walks – Fetch – Tug of War – Doggy Kindergarten – Skills Training – Car Rides – Hikes – Play Dates with other Dogs
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:	It depends on what the dog does. If they potty indoors, I would point at them, tell the dog, “no”, in a firm voice and take them outside to continue if the dog has to. I wouldn’t use a kennel unless the dog did something bad like bite a person or tear up something that is not a toy.
Discipline:	– Constant practice/Teaching – “No” – Outside for a short period of time – Kennel for a short period of time
Where would Pembroke spend the majority of the time:	My dog would be a combination of a house dog and an active dog who will spend many hours outside per day. Outside playing or “helping” while I flip houses.
Discipline:	– Constant practice/Teaching – “No” – Outside for a short period of time – Kennel for a short period of time Where would Pembroke spend the majority of the time: My dog would be a combination of a house dog and an active dog who will spend many hours outside per day. Outside playing or “helping” while I flip houses.
House dog or outside dog?	House dog
People at home during the day?	Yes. I live with my dad. He and I are usually home during the early morning, early-mid afternoon, and the evening. I’m home more often than he is.
Where would dog eat?	My dog would eat in the kitchen in their own corner.
Where would dog sleep:	In a bed either in my bedroom, outside the bedroom, or in the family room. Wherever the corgi is most comfortable.
Play & exercise:	The corgi will get at least 1-2 hours of activities in the morning. 2-4 in the afternoon and about the same time or more in the evening.
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:	Lives with Dad
Landlord info:
May we contact your landlord?
Lease allow dogs:
Landlord permission:
Restrictive covenants?	Not applicable
Breed/size restrictions?	No
Description of yard:	Currently, our home is on the corner of a suburban neighborhood without a fence with a big yard.
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?	Jake Hamilton
Willing to train children?	I don’t have a kid.
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 I am willing to work around it. Lupus is at the end of his life so I am ready for my dream corgi before Lupus passes away.
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: