Untitled_1983 - Lakeshore Pembroke Welsh Corgi Rescue

Date & Referral Source
State:		Date of Application:	08/18/2018	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:	Red & White, Red Headed Tri	Activity level:	Outgoing, Quiet, Playful, Energetic
Other preferences:	Enjoy walks/outdoor adventures
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.
Why do you want a Pembroke?	I love their kind heart, energy and size. They have a beautiful coat and a wonderful personality. I have researched a good amount of breeds and I find a pembroke to be the best fit for me.
Activities planned with Pembroke:	Daily walks, weekend trips to state parks and forest reserves, dog parks and general socializing.
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:	Verbal disapproval with positive correction reinforcement.
Discipline:	Depends on the way he/she responds. If less stubborn, verbal discipline with privileges being revoked. If more stubborn, consistent authority will eventually work.
Where would Pembroke spend the majority of the time:	Inside my home during most days unless we are spending time outside.
Discipline:	Depends on the way he/she responds. If less stubborn, verbal discipline with privileges being revoked. If more stubborn, consistent authority will eventually work. Where would Pembroke spend the majority of the time: Inside my home during most days unless we are spending time outside.
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:	In my room.
Play & exercise:	Daily walks, dog park, socializing with neighborhood dogs. I live an active lifestyle so I will include the corgi with most activities.
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?	Yes
Description of yard:	Open yard, no fixtures.
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?	Tyler Emberson
Willing to train children?	Yes, if I ever do have children in the future.
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 have no pets and I do not plan on having any other pets in the future.
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: