Untitled_2196 - Lakeshore Pembroke Welsh Corgi Rescue

Date & Referral Source
State:		Date of Application:	01/19/2019	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:	1 year – 3 years, 3 years – 5 years, 5 years – 10 years	Gender preferred:	Female	Color preferred:	Any color	Activity level:	Couch Potato, Outgoing, Quiet, Playful
Other preferences:	Social, gets along with other dogs
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?	Myself
Why do you want a Pembroke?	I had a corgi growing up, long before they became the Darlings of the Internet. I am aware of the breed’s quirks and challenges.
Activities planned with Pembroke:	Outdoors: Daily walks, dog park visits, doggie beach visits when it’s obviously not wintertime. Indoors: enrichment activities/games and playing with toys
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:	Positive reinforcement training.
Discipline:	Positive reinforcement training.
Where would Pembroke spend the majority of the time:	In my apartment, alternating between the crate (hope to crate train him/her) and having free reign of the apartment.
Discipline:	Positive reinforcement training. Where would Pembroke spend the majority of the time: In my apartment, alternating between the crate (hope to crate train him/her) and having free reign of the apartment.
House dog or outside dog?	House dog
People at home during the day?	Yes, I work from home.
Where would dog eat?	In the kitchen
Where would dog sleep:	If crate trained, in their crate in the living room. But I plan on having a couple of comfy dog beds for lounging purposes.
Play & exercise:	Daily walks, trips to the dog park and doggie beach near my apartment. Potential for doggie day care a couple days/week. Doggie play dates with some of my friends’ dogs, pending successful introductions. There are also corgi-specific meetups in Chicago that I would want to go to.
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?
Lease allow dogs:	Yes, my lease permits dogs.
Landlord permission:
Restrictive covenants?	No, the condo covenants do not prevent me from having a dog.
Breed/size restrictions?	Yes
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?	Myself
Willing to train children?	I don’t have any kids.
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?	There are no other pets in my home.
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: