Untitled_1930 - Lakeshore Pembroke Welsh Corgi Rescue

Date & Referral Source
State:		Date of Application:	07/15/2018	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:	3 years – 5 years, 5 years – 10 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:	I have a large yard that is not fenced in but would get a one of those cables to put in my yard in case the dog needs to be on a leash.
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?	Myself and my family that I live with.
Why do you want a Pembroke?	I have no personal experiences with this breed, but have just come to really love the breed. After doing research on which dog breed I would personally love to own for me it came down to a Welsh Corgi. I know they are generally healthy energetic animals and would love having one as a positive reinforcement in my house with my family.
Activities planned with Pembroke:	Take it on walks, play with it in my backyard, bring it on road trips when i visit friends. Bring it to friends homes to have play dates with their dogs. Cuddle and watch TV with him/her.
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:	Use my body language to show what they did was wrong by scolding. Address the mistake as soon as possible so the Pembroke will know their mistake. Because the mistake might happen again, keep reinforcing the discipline when they make the mistake until they know not to do what they did.
Discipline:	Time outs, using my voice to stop unwanted behavior, taking a toy away, avoiding their attention.
Where would Pembroke spend the majority of the time:	In my house.
Discipline:	Time outs, using my voice to stop unwanted behavior, taking a toy away, avoiding their attention. Where would Pembroke spend the majority of the time: In my house.
House dog or outside dog?	House dog
People at home during the day?	Generally no, but that depends on the day of the week. Everyone is home on the weekends, and between myself and the others I live with, we leave and come home at different times of the days.
Where would dog eat?	Out of a bowl in our kitchen.
Where would dog sleep:	My bed, or in it's own bed in the living room.
Play & exercise:	I will make sure it get's walks before and after I have work. Play with him/her when I am home from work and take him/her out on the weekends.
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:	Live with parents.
Landlord info:
May we contact your landlord?
Lease allow dogs:
Landlord permission:
Restrictive covenants?	Not applicable
Breed/size restrictions?	No
Description of yard:	A shed, camper, and garage. No fence leading to the front of the house but there are fences around preventing the dog to get into any of the neighbors yards, half an acre to roam around.
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?	Angela Andolfi
Willing to train children?	yes, but I currently do not have children and do not plan to have children for a few years.
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
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: