Untitled_2188 - Lakeshore Pembroke Welsh Corgi Rescue

Date & Referral Source
State:		Date of Application:	01/13/2019	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, 3 years – 5 years	Gender preferred:	Female	Color preferred:	Any color	Activity level:	Outgoing, Quiet, Playful, Energetic
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?	This Pembroke is for myself. In January of 2018, my cat 19 year old cat Alex passed away. I have been debating about getting another pet, but with the one year anniversary of her passing approaching, I believe that I am ready to care for another animal and provide a loving home for their life-time.
Why do you want a Pembroke?	A friend of mine had a pair of corgi's when I lived in Houston….and the best word to describe them would be two giant balls of love. They were the sweetest dogs that I have ever come across and I was always surprised that so much hair could come out of such a small dog during shedding. But that constant smile on their faces just melted my heart.
Activities planned with Pembroke:	In Elmhurst, there are tons of open spaces for exercise and dog parks where they could make tail friends.
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 redirection and then follow up with positive reinforcement.
Discipline:	positive reinforcement and reward with dog treats.
Where would Pembroke spend the majority of the time:	If not on a cushion on my heated area rug, then probably on a cushion in a sunny spot looking out onto Elm Creek watching the ducks.
Discipline:	positive reinforcement and reward with dog treats. Where would Pembroke spend the majority of the time: If not on a cushion on my heated area rug, then probably on a cushion in a sunny spot looking out onto Elm Creek watching the ducks.
House dog or outside dog?	House dog
People at home during the day?	Yes, I work from home three to four days a week.
Where would dog eat?	My previous cat would eat under the bar where she had her choice of fresh water (changed daily), dry kibble, and wet food.
Where would dog sleep:	Either at the foot of the bed or more than likely on the heated area rug.
Play & exercise:	Daily
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?	Marcus
Willing to train children?	N/A
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
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: