Untitled_1990 - Lakeshore Pembroke Welsh Corgi Rescue

Date & Referral Source
State:		Date of Application:	08/25/2018	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, 5 years – 10 years, 10 years +, Any age	Gender preferred:	Either a Male or a Female	Color preferred:	Red & White, Red Headed Tri	Activity level:	Couch Potato, Quiet, Very Active, Other (Please describe in the box below.)
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 animal will be an emotional support animal who will be trained also as a service animal.
Why do you want a Pembroke?	I want to adopt a Pembroke because the breed is one of the most intelligent I have ever seen, even more so than a Lab. They are a medium sized breed which is perfect for my living situation. I enjoy their energy as I myself have energy. I have researched the breed so I do know they are herd animals, they can be nippy, and destructive when bored, but as a trained service animal I do not believe the dog would ever get bored. I love that they have a double coat, which others may not like as it sheds A LOT, but for me, running my fingers through fur helps to ease my anxieties so the shedding does not bother me. We invented vacuums and brushes for a reason.
Activities planned with Pembroke:	On campus, we have a service dog training program called Wags for Mags which is how I will train the dog. As a service dog, it will get to go with me wherever I may go, so there will be lots of walks, (when off duty; lots of pets, and toys, and love).
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:	Positive reinforcement. I would never be so cruel as to punish the dog for a mistake. Nothing is perfect. I tell the dog "No." and when they must go outside and I see them squatting where they should not be, I would say "No." again and take them outside to teach them outside it the only potty allowed.
Discipline:	When they give me good behavior, a treat or a toy. When bad behavior rises, using my voice to put an end to it. I would never hit an animal.
Where would Pembroke spend the majority of the time:	The dog would spend most of their time with me. I live on a campus for college and they allow Emotional Support Animals as well as service animals. At first, the dog would be just an ESA while I train it to become a Service Animal to warn me of my pending anxiety/irritable bowel syndrome flare-ups which do have the tendency to make me black out. The dog's job would be to warn me so I can get somewhere safe and notify someone what is happening.
Discipline:	When they give me good behavior, a treat or a toy. When bad behavior rises, using my voice to put an end to it. I would never hit an animal. Where would Pembroke spend the majority of the time: The dog would spend most of their time with me. I live on a campus for college and they allow Emotional Support Animals as well as service animals. At first, the dog would be just an ESA while I train it to become a Service Animal to warn me of my pending anxiety/irritable bowel syndrome flare-ups which do have the tendency to make me black out. The dog's job would be to warn me so I can get somewhere safe and notify someone what is happening.
House dog or outside dog?	House dog
People at home during the day?	Yes, there is always at least one of us.
Where would dog eat?	The dog would have its own area in our room where they would eat and have toys.
Where would dog sleep:	Their bed would be up by my bed as to have them nearby for when my problems arise. If the dog wants two beds, the dog can have two beds. I do not want to place a dog in a crate if I do not have to.
Play & exercise:	Play and exercise will come from the training. As well as simply being my service dog, they get to go wherever I go and the walks would be everyday.
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:	Campus dorm
Landlord info:
May we contact your landlord?
Lease allow dogs:
Landlord permission:
Restrictive covenants?	Yes, the condo covenants do prevent me from owning a dog.
Breed/size restrictions?	No
Description of yard:	The campus we live on has lots of grassy areas to run and play. There are also sidewalks which can get hot but one simply has to place the back of their hand to see if it is too warm for a dog.
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?	Hannah Butler
Willing to train children?	I do not plan on having any children but if that were to happen, yes.
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 have had two cats who did not like each other at first. We slowly introduced them to each other, placed their food far apart and then brought it closer and closer. I believe it would be much the same to do with a dog.
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: