Untitled_2028 - Lakeshore Pembroke Welsh Corgi Rescue

Date & Referral Source
State:		Date of Application:	09/21/2018	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:	Any color	Activity level:	Outgoing, Playful, Other (Please describe in the box below.)
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?	Melissa–as a pet and to possibly be trained as a therapy dog
Why do you want a Pembroke?	I have always wanted a Corgi of any kind. I think they are adorable and I have heard that they could make good therapy dogs. I also prefer small to medium size dogs versus a large dog since I live in a townhome.
Activities planned with Pembroke:	Walk, take to dog parks, take to work as an emotional support/therapy animal, play with children and adults,
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 firm tone with the dog and not reward the behavior. I am very tolerant of mistakes and would never yell at or use physical discipline with an animal if it made a mistake.
Discipline:	Use firm tone, verbal commands. I am planning to go through the AKC Canine Good Citizen program with any dog I get to learn appropriate methods of discipline.
Where would Pembroke spend the majority of the time:	With me at home or my workplace, which is a counseling center. The dog would be in my office or another counselor's office. We also have yard space that the dog could use.
Discipline:	Use firm tone, verbal commands. I am planning to go through the AKC Canine Good Citizen program with any dog I get to learn appropriate methods of discipline. Where would Pembroke spend the majority of the time: With me at home or my workplace, which is a counseling center. The dog would be in my office or another counselor's office. We also have yard space that the dog could use.
House dog or outside dog?	House dog
People at home during the day?	No but I would be able to bring the dog to my workplace.
Where would dog eat?	I always leave dry food out for my animals so there would be food and water bowls out at both my home and workplace.
Where would dog sleep:	I would love the dog to sleep in my bed with me :). Otherwise the dog can sleep wherever he/she wants to in my home.
Play & exercise:	Daily opportunities for play and exercise–probably at least 1 hour per day at home or at the workplace.
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:	n/a
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?	Melissa
Willing to train children?	Yes definitely.
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–my cat was very unhappy with my last dog for about 2 weeks until she adjusted to having another animal in the home. The cat was never aggressive to the 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: