Untitled_2105 - Lakeshore Pembroke Welsh Corgi Rescue

Date & Referral Source
State:		Date of Application:	11/17/2018	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:	Female	Color preferred:	Any color	Activity level:	Couch Potato, Outgoing, Quiet, Playful
Other preferences:	Looking for a kind dog who would good as an Emotional Support Animal.
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?	Myself
Why do you want a Pembroke?	I want to adopt a corgi to be my Emotional Support Animal, more specifically the corgi breed because I will be living in apartments for up to two years before I am able to get a house of my own. I love the breed, ive had one once before. I loved how spunky he was and i kept him at an appropriately weight since I understand corgis can easily become overweight. I would love to have another as I lost my corgi, Ed a year and a half ago. I have done loads of research on them over the past few years because I wanted to learn the breed to be the best dog momma I could for my last corgi.
Activities planned with Pembroke:	I would take them on walks a few times a week, give them plenty of love and cuddles. Id also love to take them to the dog park to keep them socialized and exercised. Road trips, camping and generally just being a part of the family!
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:	Reaffirmation, start from the top and try again. If its an accident inside, take them to the spot, say no, and take them outside, repeat if it happens again and let them know outside is where they do their buisness. Positive reinforcement to help progress too with treats and pets when they do good
Discipline:	Firm tone of voice to let them know you are in charge, take away any toys for a little while, but after give them positive reinforcement to show them you still care.
Where would Pembroke spend the majority of the time:	They would be at my place of residence most of the time as I work from home. But id love to bring them along for road trips or events on the lakefront.
Discipline:	Firm tone of voice to let them know you are in charge, take away any toys for a little while, but after give them positive reinforcement to show them you still care. Where would Pembroke spend the majority of the time: They would be at my place of residence most of the time as I work from home. But id love to bring them along for road trips or events on the lakefront.
House dog or outside dog?	House dog
People at home during the day?	Yes, I am home all day most days.
Where would dog eat?	Good natural foods with no fillers.
Where would dog sleep:	Either in bed with me or on their own comfy bed in my room. (They could have the option of both as ive already got a nice soft dog bed)
Play & exercise:	Id take them on walks a few days of the week, generally play with them every day and also take them to the dog park so they can play and socialize with other dogs and people.
How will you exercise your dog?	Both on leash and restrained to the yard
Fenced yard?	Yes, I have a fenced in yard.
Willing to pick up dog waste?	Yes, I will clean up after my dog.
Willing to use a crate?	A few feet tall and wooden.
Living arrangements:	Currently live with my mother, but will be moving back out in the future.
Landlord info:
May we contact your landlord?
Lease allow dogs:
Landlord permission:
Restrictive covenants?	Not applicable
Breed/size restrictions?	No
Description of yard:	Just a small deck, grass yard and fenced in.
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?	Rachel Anderson
Willing to train children?	Yes, I want to teach them to have the love and respect for animals like I do as it is very important to me.
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?	Definately, my pets are and have always been like family to 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: