Untitled_1932 - Lakeshore Pembroke Welsh Corgi Rescue

Date & Referral Source
State:		Date of Application:	07/16/2018	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:	Any age	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?	This Pembroke is for me.
Why do you want a Pembroke?	I have wanted a corgi for as long as I can remember. My family friends breed corgis and I have always loved being around them. They are so sweet and such a lovable dog.
Activities planned with Pembroke:	I would love to be able to take my dog on walks and to the park. I would also love to be able to lay around with him/her at the end of the day and just be best friends.
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:	Depending on the dog I would most likely use a stern “no” or a time out. Coming from a rescue I know a dog can have behavioral issues so I would use the advice of the foster parents.
Discipline:	My dog now at my parents house we discipline with a stern “no” or a quick time out.
Where would Pembroke spend the majority of the time:	My corgi would spend most of its time in my house and out on walks depending on the day.
Discipline:	My dog now at my parents house we discipline with a stern “no” or a quick time out. Where would Pembroke spend the majority of the time: My corgi would spend most of its time in my house and out on walks depending on the day.
House dog or outside dog?	House dog
People at home during the day?	Yes
Where would dog eat?	In the kitchen.
Where would dog sleep:	In my room on a bed or in my bed.
Play & exercise:	I would take them on walks everyday and take them to the park. They would be able to go outside and run and play at least 2 hours if not more everyday.
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:	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?	Yes
Description of yard:	I have no 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?	Alexis Snyder
Willing to train children?	I do not have 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?	I don’t plan on getting any other pets.
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: