Untitled_2226 - Lakeshore Pembroke Welsh Corgi Rescue

Date & Referral Source
State:		Date of Application:	02/09/2019	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:	0 months – 1 year (we rarely get dogs in this age group), 1 year – 3 years	Gender preferred:	Female	Color preferred:	Any color	Activity level:	Outgoing, Playful, Energetic, Very Active
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?	Myself
Why do you want a Pembroke?	I have loved corgis since I was a kid. They are energetic, sweet, on the smaller end and they make my heart melt. They are smart but also curious and playful
Activities planned with Pembroke:	A lot of walks, fetch, hikes, honestly anything outdoors, I plan on bringing my Corgi with. (My cousin owns a doggy day care and does puppy, dog training so we'd do that 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:	Example if she grabs a shoe, I'd replace the shoe with an actual chew toy. If she bites, I'd say ow then put her in "timeout" but never hit or yell. If she jumps I would turn and once she's on all fours I will then give her attention.
Discipline:	Positive reinforcement Change the bad habits to good habits and redirect
Where would Pembroke spend the majority of the time:	Inside when I'm at work and outdoors with me.
Discipline:	Positive reinforcement Change the bad habits to good habits and redirect Where would Pembroke spend the majority of the time: Inside when I'm at work and outdoors with me.
House dog or outside dog?	House dog
People at home during the day?	No one is here from 8am until 3pm but I work 5 minutes from home so I can come on my lunch to say hi and let her out no problem
Where would dog eat?	In the kitchen
Where would dog sleep:	In my bed or in her own doggy bed next to my bed.
Play & exercise:	I'm very active. I go on hikes, walks and runs all of the time. We have a lot of land next to and behind our apartment complex when we can't go to a forest preserve.
How will you exercise your dog?	Both on leash and restrained to the yard
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:	No, my landlord has not given me permission to adopt 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?	Taylor Villiere
Willing to train children?	Yes, Absolutely
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: