Untitled_1846 - Lakeshore Pembroke Welsh Corgi Rescue

Date & Referral Source
State:		Date of Application:	05/29/2018	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:	Outgoing, Playful, Energetic, Very Active
Other preferences:	I would like a dog that is friendly with people as my current dog was a rescue and has anxiety around new people so I would prefer any other dog that we get would be more trusting of people
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?	It would be a companion for me and my current dog
Why do you want a Pembroke?	I really like the size of the breed and I think they are very cute. My current dog is very high energy so I'm looking for an active breed that can keep up with her during play time but isn't overly active. Also from my research I have learned that the breed is fairly intelligent and since I have experience with training one dog already, I think the breed would be a perfect fit.
Activities planned with Pembroke:	Going on walks and to the park with my current dog. We have a pretty large fenced in yard where we like to play fetch and frisbee. Training would be very important, my current dog and I are starting to work on more advanced things that I would also like to do with another 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?	Yes
Vet contact info:
Will handle mistakes Pembroke makes like this:	Use positive reinforcement training to correct the problem
Discipline:	My current dog can get rowdy at times and when she doesn't follow commands I either give her short time out or give her no attention until she is calm
Where would Pembroke spend the majority of the time:	Inside the house( I have a large tile room where I wouldn't have to worry about messes) or out in the yard
Discipline:	My current dog can get rowdy at times and when she doesn't follow commands I either give her short time out or give her no attention until she is calm Where would Pembroke spend the majority of the time: Inside the house( I have a large tile room where I wouldn't have to worry about messes) or out in the yard
House dog or outside dog?	House dog
People at home during the day?	Me and my roommate work opposite shifts so there is usually someone home
Where would dog eat?	In the kitchen
Where would dog sleep:	My current dog sleeps on a bed next to mine, I would have the corgi sleep in a crate for a while for crate training then see if the same situation as my dog would work for the corgi
Play & exercise:	I take my current dog on a walk every day and do about an hour of training/ fetch. Throughout the day they would be able to play in the yard or I have enough space in my room for them to play
How will you exercise your dog?	Both on leash and restrained to the yard
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?	6ft wood fence. Fairly large yard
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:	A sliding door goes out onto a concrete patio, the rest of the yard is grass with only a tree in the back corner. It is entirely fenced in and pretty big.
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?	Tony Houston
Willing to train children?	I have no 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: