Untitled_2127 - Lakeshore Pembroke Welsh Corgi Rescue

Date & Referral Source
State:		Date of Application:	12/02/2018	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:	0 months – 1 year (we rarely get dogs in this age group), 1 year – 3 years	Gender preferred:	Either a Male or a Female	Color preferred:	Red & White, Red Headed Tri	Activity level:	Couch Potato, Outgoing, Quiet, Playful, Energetic
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?	For both of us; we are boyfriend and girlfriend and ready to add to our family.
Why do you want a Pembroke?	We love their personality, playfulness, their size, and of course their butts! We take walks by the local dog park and really enjoyed watching our neighbor’s Corgi run around with the other dogs. The owner of the Corgi had nothing but good things to say about the breed. We have done extensive research on the breed. We think a Corgi would get along especially well with our two cats.
Activities planned with Pembroke:	Frequent walks in the neighborhood and trips to the dog park. We would let the Corgi get plenty of exercise.
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:	Redirection, reteaching, and positive reinforcement after correction.
Discipline:	As above, we would use a strong “no” for actions that need correction. We would give treats when the dog corrects its behavior to reinforce.
Where would Pembroke spend the majority of the time:	In our apartment and out on walks/at the dog park.
Discipline:	As above, we would use a strong “no” for actions that need correction. We would give treats when the dog corrects its behavior to reinforce. Where would Pembroke spend the majority of the time: In our apartment and out on walks/at the dog park.
House dog or outside dog?	House dog
People at home during the day?	My girlfriend works morning shift and I work evening shift so there is almost always someone home.
Where would dog eat?	In the kitchen of our apartment.
Where would dog sleep:	In our bedroom, in a crate with the gate open.
Play & exercise:	We would take the dog on multiple walks per day and trips to the dog park. We also have a small fenced yard.
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?	It is a chain-link fence that is roughly 4 feet high.
Living arrangements:	Rent/lease home
Landlord info:
May we contact your landlord?	Yes, you may contact my landlord.
Lease allow dogs:	Yes, my lease permits dogs.
Landlord permission:	Yes, my landlord is fine with me owning a Pembroke
Restrictive covenants?	Not applicable
Breed/size restrictions?	No
Description of yard:	Apartment building has a small fenced in backyard.
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?	Matthew Carlson
Willing to train children?	We do not have human children 🙂
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 we are.
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: