Untitled_1843 - Lakeshore Pembroke Welsh Corgi Rescue

Date & Referral Source
State:		Date of Application:	05/27/2018	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, 3 years – 5 years	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?	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 us and our home!
Why do you want a Pembroke?	We want to adopt a Pembroke Welsh Corgi because they are happy, energetic dogs. I have dog sat for a family with a Corgi, and I absolutely fell in love with Norah. She was kind, loving, and fun to spend time with. We are very interested in this breed!
Activities planned with Pembroke:	We plan to take our dog outside frequently as we live in an apartment building, and we want to make sure our dog gets time to walk and be outdoors. We also plan to take our pup to the park and dog beach near our home in Chicago. We are active people and want to share our outgoing energy with our dog.
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:	Show the dog what it did wrong, reprimand the dog with a stern tone, then clean up the mess or fix the problem.
Discipline:	I may show the dog less attention for a short period of time (maybe 5 minutes) following the infraction as discipline. I would also reprimand the dog with a stern tone.
Where would Pembroke spend the majority of the time:	In our apartment or supervised in the enclosed back yard
Discipline:	I may show the dog less attention for a short period of time (maybe 5 minutes) following the infraction as discipline. I would also reprimand the dog with a stern tone. Where would Pembroke spend the majority of the time: In our apartment or supervised in the enclosed back yard
House dog or outside dog?	House dog
People at home during the day?	Sometimes, depending on the season. I also work in a dog friendly environment.
Where would dog eat?	at home
Where would dog sleep:	at home indoors, on a dog bed
Play & exercise:	My wife and I are both active individuals who enjoy being outdoors. We will take the dog on daily walks, and we could also take the dog to nearby parks, a local dog friendly beach, or on hikes in nature. We will play with the dog daily in the house as well.
How will you exercise your dog?	On leash
Fenced yard?	Yes, I have a fenced in yard.
Willing to pick up dog waste?	Yes, I will clean up after my dog.
Willing to use a crate?	Its a wooden fence that can be opened by any of the tenants of the apartment building. We wouldn't let the dog out unsupervised.
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?	No
Description of yard:	We have a small backyard, probably 20 feet by 10 feet. The yard is flat and enclosed, and contains a portable fire pit that's rarely used. There are also stairs at the back of the yard that we can use to access the basement of the building.
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?	Travis Hernandez
Willing to train children?	We do not have children, but would teach them if we decided to
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?	Yes, although adding more pets is unlikely
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: