Untitled_1931 - Lakeshore Pembroke Welsh Corgi Rescue

Date & Referral Source
State:		Date of Application:	07/16/2018	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:	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?	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?	My last girlfriend of 2 years has a Corgi named Ziggy. I became like a dog dad to her and spent a significant amount of time with Zigs. From traveling to just being couch potato's, we became inseparable. Truly the hardest part of the breakup was loosing Ziggy. I have had numerous dogs throughout my childhood and adult life and Ziggy had the most amazing personality out of any dog I have been around.
Activities planned with Pembroke:	Daily walks, dog parks, travel companion. I am highly interested in agility training and social dog events.
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 use a stern and firm command of No! I would then for example if it was a potty mistake, take the dog outside. I would refrain from training the dog through fear and intimidation. Correct the mistakes as I can and reward the successes.
Discipline:	From my experience with past dogs. I would use similar techniques to raising a toddler. Use command words to stop unwanted acts. I would then take toys away, not be so affectionate while a mistake or incident has occurred. I would also like to learn more through formal obedience training.
Where would Pembroke spend the majority of the time:	A mix between home with my retired father, with myself and doggy daycare a few times a week.
Discipline:	From my experience with past dogs. I would use similar techniques to raising a toddler. Use command words to stop unwanted acts. I would then take toys away, not be so affectionate while a mistake or incident has occurred. I would also like to learn more through formal obedience training. Where would Pembroke spend the majority of the time: A mix between home with my retired father, with myself and doggy daycare a few times a week.
House dog or outside dog?	House dog
People at home during the day?	My father is home during the day.
Where would dog eat?	In the Kitchen with us.
Where would dog sleep:	In my room with a dog bed.
Play & exercise:	Nightly we would go on walks and do dog parks. Also we have a large back yard. It will also have the ability to go to doggy day care.
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 tall chain link fence.
Living arrangements:	Own home
Landlord info:
May we contact your landlord?
Lease allow dogs:
Landlord permission:
Restrictive covenants?	Not applicable
Breed/size restrictions?	No
Description of yard:	We have a large back yard that is in the current process of having a pool removed. Until this is complete I plan on taking the pup to the dog park and friends houses.
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?	Joe Plazyk
Willing to train children?	Yes I am.
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.
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: