Untitled_1804 - Lakeshore Pembroke Welsh Corgi Rescue

Date & Referral Source
State:		Date of Application:	05/03/2018	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:	Any age	Gender preferred:	Either a Male or a Female	Color preferred:	Any color	Activity level:	Couch Potato, Outgoing, Quiet, 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?	Growing up my neighbors had two Corgis and I would always go over and play with the dogs. They were such a sweet loving breed. I thought it could be good because they seem to be pretty social and my friends come over a lot so they would get a lot of attention. They are small enough to be in an townhome and its a good sized place so they have room inside.
Activities planned with Pembroke:	Walk them daily. Take them to the dog park in our neighborhood. Play with them. Take naps with them.
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:	Stern voiced 'no' and then use positive reinforcement to train good behavior
Discipline:	Usually just a stern voice. If its biting or aggressive maybe a small pat on the butt.
Where would Pembroke spend the majority of the time:	In my townhome, until i get it emotionally certified then might take it to class more often.
Discipline:	Usually just a stern voice. If its biting or aggressive maybe a small pat on the butt. Where would Pembroke spend the majority of the time: In my townhome, until i get it emotionally certified then might take it to class more often.
House dog or outside dog?	House dog
People at home during the day?	It will depend on our schedule as students but I will gone gone at most for two hours before i can be back.
Where would dog eat?	At home from a bowl
Where would dog sleep:	either in a doggie bed or with me if they like it
Play & exercise:	daily. I will walk them when I wake up and before bed. During the day if I have time I'd take them to the dog park in the neighborhood.
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:	Yes, my landlord is fine with me owning a Pembroke
Restrictive covenants?	No, the condo covenants do not prevent me from having a dog.
Breed/size restrictions?	No
Description of yard:	Townhome, no yard, and pool in neighborhood is fenced off. There is a dog park in the area
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?	Francesca Geis
Willing to train children?	I do not have children.
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. The only other pet would be a cat by our possible third roommate and I will work with 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: