Untitled_2228 - Lakeshore Pembroke Welsh Corgi Rescue

Date & Referral Source
State:		Date of Application:	02/11/2019	Referred by:	Friend
Contact Information
First name:		Last name:		First name 2:		Last name 2:
Address
Street:
City:			State:		Zip:
Type of Dog Wanted
Ages interested in:	3 years – 5 years, 5 years – 10 years	Gender preferred:	Either a Male or a Female	Color preferred:	Any color	Activity level:	Outgoing, Playful, Energetic
Other preferences:	Do not need to worry about other pets as he/she would be the only one
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?	Me
Why do you want a Pembroke?	I do like the breed as the can be fun playful dogs. I have not got to see a corgi before as they are not “popular” in the area I live. I have looked into there behavior, and their shedding.
Activities planned with Pembroke:	Go on walks, camping trips and if they like to play in the snow during winter months
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’d make sure to let the dog know not to do it or reward good behavior when it is shown. Mostly would consist of “No” , or “bad boy/girl”
Discipline:	If I see the dog doing what is not allowed I confront the dog about it. If I am not able to see the dog doing it I would not scold the dog as he/she would not know what they have done especially if time has passed.
Where would Pembroke spend the majority of the time:	My Pembroke would spend most of the time outside during days unless hot/cold weather or we are inside then the Prembroke would be inside with us.
Discipline:	If I see the dog doing what is not allowed I confront the dog about it. If I am not able to see the dog doing it I would not scold the dog as he/she would not know what they have done especially if time has passed. Where would Pembroke spend the majority of the time: My Pembroke would spend most of the time outside during days unless hot/cold weather or we are inside then the Prembroke would be inside with us.
House dog or outside dog?	House dog
People at home during the day?	The dog would be alone from 9-11 On Monday’s Wednesday’s and Friday’s as I have class at this time otherwise he/she would always have a person there looking after him/her
Where would dog eat?	We have a hallway next to our back door, water and food would be previded here.
Where would dog sleep:	The corgi would sleep either in my room on a dog bed or in the hallway by the entrance
Play & exercise:	The corgi would get to go to the dog park near by my house at least once a week on Saturdays and would be walked twice a day before and after school, and of course fetch would be played as well as tug of war.
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:	Own home
Landlord info:
May we contact your landlord?
Lease allow dogs:
Landlord permission:
Restrictive covenants?	Not applicable
Breed/size restrictions?	No
Description of yard:	We have a big sandbox from when we were kid that the corgi could play in if wanted too, we also have a open field and live on 2 acres of land and is open for the dog to play and roam
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?	Austin (me)
Willing to train children?	Yes we would train both the dog and the children. The youngest one at our house is 19 (me).
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 would work the animals together if we would get another.
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: