Untitled_2505

Applicant IL
State: {Applicant State:2} Date of Application: 07/27/2019 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:
 Any age
Gender preferred:
 Female
Color preferred:
 Red & White, Any color
Activity level:
 Couch Potato, Outgoing, Quiet, Playful, Other (Please describe in the box below.)

Other preferences:
 I lost my best friend Emma due to old age and other complications. She will never be replaced but has sent signals that after suffering for over a year, it’s ok w/her if I share my love, compassion and patience
with someone who will return my love.

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?

 Cindy Luciano

Why do you want a Pembroke?
 It was a miracle I went to KMart 14 yrs ago not even planning to go there. I had exactly $300.00 on me (never happens). Emma was in a crate rescued from Kentucky left tied in a barn- no food/water!!! & would be moved the next day. As I walked down the aisle our eyes locked & she was $300.00 meant to be. For 14 yrs she was my soul mate. Precious, loving overwhelming, & with all honesty maybe barked 4-5 times her entire life. I have had a few dogs in my life all exceptional but none came close to the unconditional love that flowed from her heart & soul❤️

Activities planned with Pembroke:
 Activities would depend on age and enjoyment of the Corgi. long walks would be ideal but not necessary.

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: 		I would tell the Corgi ‘no worries’ but keep an eye open for any health issues. I’m a very loving & patient parent and would never ever have any animal afraid or hesitant about me. I have always seen that they had great healthcare and plenty of love, treats, toys?

Discipline:
 I’m not one to stick noses in their bowel movements (UGH) or raise my voice & NEVER use so-called remedies. Because I’m home 99% of the time, I would use consistent repeat actions as I’d like someone to teach me. One needs to know What or Why they’re doing so as not to repeat unknowingly and just calling the pet’s name louder & louder because they’re too lazy and inpatient. How do you know “NO, YES, Buddy” mean different things.

Where would Pembroke spend the majority of the time:
 With me & dependent on her age, abilities & preferences we’d go day-by-day.

Discipline:
 I’m not one to stick noses in their bowel movements (UGH) or raise my voice & NEVER use so-called remedies. Because I’m home 99% of the time, I would use consistent repeat actions as I’d like someone to teach me. One needs to know What or Why they’re doing so as not to repeat unknowingly and just calling the pet’s name louder & louder because they’re too lazy and inpatient. How do you know “NO, YES, Buddy” mean different things.
Where would Pembroke spend the majority of the time: With me & dependent on her age, abilities & preferences we’d go day-by-day.

House dog or outside dog?

 House dog

People at home during the day?
 My husband Bob is also retired and would be in & out depending. Bob is a kind and wonderful soul. Emma was his “dog-ter”.

Where would dog eat?
 Emma had her own special corner in our kitchen and she liked it.

Where would dog sleep:
 I hope this isn’t a negative but until we couldn’t assist her she’d sleep in our bed which she emphatically demanded – lovely cuddle bug. Unfortunately we had to put her bed on the floor next to me which she did adjust to unhappily.

Play & exercise:
 Again dependent on the Corgi’s age, health and abilities, the possibilities are endless.

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?
 We live in a townhome community and all the fencing is the same. Approximately 6’x high & 9’ around. It was perfect size for Emma.

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?
 No, the condo covenants do not prevent me from having a dog.

Breed/size restrictions?
 No

Description of yard:

 grass yard with a few gardens. No pools, trampolines, zero, just lawn.

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?
 Cindy Luciano

Willing to train children?
 children are all grown & grandchildren have pets of their own that they care of and know how to treat all animals.

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?

Are you willing to work on it if your new dog doesn’t get along with your current pets right away?
 No other pets.

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}