Untitled_2201 - Lakeshore Pembroke Welsh Corgi Rescue

Date & Referral Source
State:		Date of Application:	01/22/2019	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	Gender preferred:	Either a Male or a Female	Color preferred:	Any color	Activity level:	Outgoing, Quiet, Playful
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 my wife and me.
Why do you want a Pembroke?	We have always loved corgi. Multiple members of family and friends have/had a Corgi and we loved how playful they were. We enjoy that it's not a big dog but at the same time not a "purse" dog either. We have done research on the breed and understand what will go into taking care of it and providing a good home.
Activities planned with Pembroke:	We like to walk around the neighborhood and go to the lake. Hiking and weekend trips are numerous for us. Walking around downtown and going to breweries is something we enjoy. We visit friends and family who would enjoy playing with the dog as well.
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:	With positive reinforcement. It's important to recognize the mistake and ensure that the dog learns from it as well as the owner.
Discipline:	Positive reinforcement; use voice to stop unwanted behavior; taking toys away; avoiding attention when the dog is misbehaving.
Where would Pembroke spend the majority of the time:	Mostly at home.
Discipline:	Positive reinforcement; use voice to stop unwanted behavior; taking toys away; avoiding attention when the dog is misbehaving. Where would Pembroke spend the majority of the time: Mostly at home.
House dog or outside dog?	House dog
People at home during the day?	Yes.
Where would dog eat?	At the house.
Where would dog sleep:	At the house.
Play & exercise:	We go for walks almost everyday and we also have a small yard. The dog will get ample time to play and exercise throughout the days.
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:	We have a small un-fensed yard with no fixtures except for a small deck.
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?	Aleksandr
Willing to train children?	Yes we are.
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?	Yes we get another pet we are willing to ensure that both get along and train them.
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: