Untitled_2178 - Lakeshore Pembroke Welsh Corgi Rescue

Date & Referral Source
State:		Date of Application:	01/03/2019	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, Quiet, Playful
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?	Myself.
Why do you want a Pembroke?	I love the breed and how affectionate, energetic, and fun they are. I have done extensive research on the breed and believe that this breed would fit my lifestyle. I think that their playful and loveable personality along with their temperament would compliment my active lifestyle.
Activities planned with Pembroke:	I would go on long walks with he/she, there is a dog park that I would take he/she on a fairly weekly basis. I would take him to a dog beach and pretty much bring he/she anywhere that allow dogs. I also would sign up for training classes and/or agility classes for a fun activity that is mentally challenging along with a good source 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:	I would take this mistake as a learning opportunity for both myself and the PWC. I would never get visibly angry – I am quite patient and reserved myself. I would offer more training, depending on what lesson needs to be reinforced. I like to incorporate training during daily walks and at home.
Discipline:	I have used the "time out" method in the past with my lab/hound mix. This seems to be very helpful in allowing them to reflect. I would never ignore a bad behavior but offer additional training in order to help improve their behavior.
Where would Pembroke spend the majority of the time:	In my home and out on walks.
Discipline:	I have used the "time out" method in the past with my lab/hound mix. This seems to be very helpful in allowing them to reflect. I would never ignore a bad behavior but offer additional training in order to help improve their behavior. Where would Pembroke spend the majority of the time: In my home and out on walks.
House dog or outside dog?	House dog
People at home during the day?	Yes.
Where would dog eat?	In the kitchen.
Where would dog sleep:	In a dog bed in my bedroom.
Play & exercise:	I would take he/she on three walks per day, all walks being 30-45 minutes in length. This, along with weekly agility/obedience classes and trips to the dog park would help him keep an active lifestyle. I believe that daily activity is so beneficial for both their mental and physical health.
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:	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:	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?	Hannah (Myself)
Willing to train children?	I do not have children, nor plan on having children in the near future.
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 do not have any additional pets.
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: