Untitled_2054 - Lakeshore Pembroke Welsh Corgi Rescue

Date & Referral Source
State:		Date of Application:	10/09/2018	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:	Any age	Gender preferred:	Either a Male or a Female	Color preferred:	Any color	Activity level:	Couch Potato, Outgoing, Playful, Energetic, 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?	My Wife and I.
Why do you want a Pembroke?	My wife has had a life-long love for corgi's. She loves the look in addition to the energy level and playful nature their personalities bring. We also like the size of the dog. We have not had much experience with the breed, other than researching local breeders to get puppies.
Activities planned with Pembroke:	We are outgoing, social, and love being with people. We would love to be able to bring our corgi along with us wherever possible. We would be active by going on walks to local parks, social by visiting dog parks and being with friends, and around in the community.
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:	I studied some operant conditioning in school and would focus on starting by reinforcing good or desired behavior. I'd then do my best to catch the dog in the mistake, give a firm (not yelling) "no", and redirect to appropriate or desired behavior.
Discipline:	Similar to the answer above, doing the best to catch the dog in the moment, and redirect.
Where would Pembroke spend the majority of the time:	With my wife and I as much as possible, in our home, and in our community.
Discipline:	Similar to the answer above, doing the best to catch the dog in the moment, and redirect. Where would Pembroke spend the majority of the time: With my wife and I as much as possible, in our home, and in our community.
House dog or outside dog?	House dog
People at home during the day?	No during the fall months, and yes during the summer months — Wife is a teacher.
Where would dog eat?	The corgi would eat in our informal dining room just off of our kitchen
Where would dog sleep:	The dog would sleep in its crate to start, and eventually graduate to a bedroom
Play & exercise:	At least twice a day, our goal would be to do an AM and/or PM walk, and on the weekends and longer evenings in summer, we have lots of dog parks close.
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:	Own home
Landlord info:
May we contact your landlord?
Lease allow dogs:
Landlord permission:
Restrictive covenants?	Not applicable
Breed/size restrictions?	No
Description of yard:	Yard is a larger rectangular backyard. We have a small retaining wall and large tree in the back.
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?	Ben Heindel
Willing to train children?	Absolutely
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?	Yes
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: