Untitled_3423

Applicant IL
State: {Applicant State:2} Date of Application: 11/14/2020 Referred by: Website
First name: {First Name:98} Last name: {Last Name:97} First name 2: {First Name 2:94} Last name 2: {Last Name 2:93}
Street: {Street Address:3}
City: {City:4} State: {State:5} Zip: {Zip:6}

Ages interested in:
 1 year – 3 years, 3 years – 5 years, 5 years – 10 years
Gender preferred:
 Male
Color preferred:
 Any color
Activity level:
 Outgoing, Playful, Energetic, Very Active

Other preferences:
 We have a one year old corgi boy named Winston who gets along really well with other dogs and would really enjoy a sibling. Would definitely need to be ok with other dogs and playing in our big backyard.

Previous dog owner?
 Yes
 
Dog 1
 
Dog 1 name:
 {Dog Name (Most recent/ current first):24}
 
Dog description:
 {Description of Dog:25}
 
How long owned?
 {Length of time owned:26}
 
Where is this dog now?
 {Where is this dog now? (Explain if you no longer have the dog):37}
  Dog 2
 
Dog 2 name:
 {Dog Name (Most recent/ current first):30}
 
Dog description:
 {Description of Dog:33}
 
How long owned?
 {Length of time owned:35}
 
Where is the dog now?
 {Where is this dog now? (Explain if you no longer have the dog):39}
  Dog 3
 
Dog 3 name:
 {Dog Name (Most recent/ current first):29}
 
Dog description:
 {Description of Dog:32}
 
How long owned?
 {Length of time owned:36}
 
Where is dog now?
 {Where is this dog now? (Explain if you no longer have the dog):27}
  Dog 4
 
Dog 4 name:
 {Dog Name (Most recent/ current first):28}
 
Dog description:
 {Description of Dog:31}
 
How long owned?
 {Length of time owned:34}
Where is this dog now? {Where is this dog now? (Explain if you no longer have the dog):38}

Who is this dog for?

 Jared and Stephanie Coil

Why do you want a Pembroke?
 Our current dog is a pembroke welsh and we love his energy and playfulness as well as how loving he is with everyone who meets him.

Activities planned with Pembroke:
 We go for walks and to the dog park, we love to go explore the national parks around indy and play frisbee in the backyard. As well as play with the neighbors girls who love corgis 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?

 Yes

Vet contact info:
 {If yes, please provide contact information including the vet’s name, clinic name, street address, city, state, zip, and phone. Also include the website if there is one.:52}

Will handle mistakes Pembroke makes like this: 		We would use a low tone and then try to find why the mistake was made in order to discourage the same behavior while encouraging the correct behavior.

Discipline:
 We use positive reinforcements like treats and belly rubs to encourage the behaviors we would like to see

Where would Pembroke spend the majority of the time:
 Our backyard or inside the home, we do crate our current Corgi beside our bed at night so that he sleeps independently.

Discipline:
 We use positive reinforcements like treats and belly rubs to encourage the behaviors we would like to see
Where would Pembroke spend the majority of the time: Our backyard or inside the home, we do crate our current Corgi beside our bed at night so that he sleeps independently.

House dog or outside dog?

 House dog

People at home during the day?
 I am home currently due to virtual learning and my husband is home every Friday all day. Even when I go back to school I am home by 4.

Where would dog eat?
 In the kitchen with our current Corgi.

Where would dog sleep:
 In a crate either with our current Corgi or in a separate crate depending on their needs.

Play & exercise:
 Club canine is a great resource for our family because our current Corgi plays all day and comes home for cuddles and a nightly walk. On the days that our corgi is home all day we take him for an evening walk and play in the backyard or go to the nearby dog park to play with friends.

How will you exercise your dog?
 Both on leash and restrained to the yard

Fenced yard?

 Yes, I have a fenced in yard.

Willing to pick up dog waste?
 Yes, I will clean up after my dog.

Willing to use a crate?
 Our fence is an aluminum fence around the back and front of the yard, connected to the house and our neighbors wood fence, with 4 inch gaps between ( too small for our current Corgi to escape).

Living arrangements:
 Own home

Landlord info:
 {If you rent/lease your home, please list the name, telephone number and email address of your landlord. State “Not Applicable” if you own your own home.:67}

May we contact your landlord?

Lease allow dogs:

Landlord permission:

Restrictive covenants?
 Not applicable

Breed/size restrictions?
 No

Description of yard:

 We have a playhouse and a big open yard with two trees towards the back of the yard.

Household members:
 {Describe all the people who live in your home, include names, ages and interests. For example, Mary Smith, 29, Enjoys cooking, dog training, gardening and running.:75}

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?
 Stephanie Coil

Willing to train children?
 If we ever have a child, yes.

Any allergies?

 No one is allergic.

Current pets:

{Please list and describe all of the pets that currently live in your home, including the name, type, age, sex and whether it is neutered. For example, Lenny, komodo dragon, 3 years old, not neutered.:80}

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:
 {Personal References. Please list two people who know your family well, but who are not related to you (No moms, grandmas, sisters, etc) who will attest to the fact that you are a responsible, dedicated pet owner. Include the name of the person, their phone number(s), email and relationship you have with that person. For example, Mary Smith, 123-343-4444, 123-333-5767, marys@gmail.com, friend.:87}