Untitled_1935 - Lakeshore Pembroke Welsh Corgi Rescue

Date & Referral Source
State:		Date of Application:	07/18/2018	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:	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?	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?	I am 27 and looking to adopt a corgi. I do not have any pets that live with me.
Why do you want a Pembroke?	I actually don’t have any experience with corgis. I used to have a beagle until she passed away this spring. I have done some research. I love that they’re not as vocal as say beagles and that they’re easy to get along with. Plus, they are adorable!
Activities planned with Pembroke:	Go for walks, snuggle on the couch, visit the dog park
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:	It depends on what kind of mistake. Their are a lot of different situations that mistakes could happen. Especially the first few months of living together but the big thing is to be patient and show him/her where to go.
Discipline:	This question also depends on what I’d be disciplining them for.
Where would Pembroke spend the majority of the time:	At my home.
Discipline:	This question also depends on what I’d be disciplining them for. Where would Pembroke spend the majority of the time: At my home.
House dog or outside dog?	House dog
People at home during the day?	No
Where would dog eat?	In the kitchen
Where would dog sleep:	Wherever he/she chooses. In bed with me, on the couch, floor, or their dog bed.
Play & exercise:	Go for walks, provide various toys, maybe play fetch, teach tricks, go to a dog park. Every night we’d do something for at least a couple hours. On days I wouldn’t be able to, I’d hire a dog walker or take them to a doggy camp for a few hours.
How will you exercise your dog?	On leash
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:	Own home
Landlord info:
May we contact your landlord?
Lease allow dogs:
Landlord permission:
Restrictive covenants?	No, the condo covenants do not prevent me from having a dog.
Breed/size restrictions?	No
Description of yard:	I have a nice open/ grassy yard. I myself nor do any surrounding neighbors have pools.
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?	Laura
Willing to train children?	Yes. I do not currently have children but when I do, I will take the time to teach them how to care for and respect animals.
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?	I don’t have any other pets living with me.
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: