Untitled_1963 - Lakeshore Pembroke Welsh Corgi Rescue

Date & Referral Source
State:		Date of Application:	08/08/2018	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:	1 year – 3 years	Gender preferred:	Female	Color preferred:	Black Headed Tri	Activity level:	Couch Potato, Playful, Other (Please describe in the box below.)
Other preferences:	We have one cat who is older and has lived with dogs in the past and done well.
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?	Genevieve
Why do you want a Pembroke?	Every time i meet one on the street theyre so friendly and well behaved. Very playful and loving little dogs. Only a little maintenance as far as grooming as well.
Activities planned with Pembroke:	We walk on trails near our house. Trips to the lake. Hopefully our new friend likes car rides and fishing trips.
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've been raising dogs since i was little. You tell her no. And remove her from the situation.
Discipline:	Hand gestures. "No". Removing object or dog from the situation.
Where would Pembroke spend the majority of the time:	Home, with our cat.
Discipline:	Hand gestures. "No". Removing object or dog from the situation. Where would Pembroke spend the majority of the time: Home, with our cat.
House dog or outside dog?	House dog
People at home during the day?	Quite frequently
Where would dog eat?	Kitchen
Where would dog sleep:	With us or on a bed some dogs prefer one over tge other
Play & exercise:	We go on walks. We have a dog park 2 blocks from our house
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?	Not applicable
Breed/size restrictions?	No
Description of yard:	Very small yard but we will walk to the dog park, around the block, or the river trails near our house.
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?	Genevieve Barton
Willing to train children?	Yes, although we have no children now.
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. Although my cat does well with other pets and children.
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: