Chicago Pet Rescue - Adoption Application - Download

Please tell us the type of animal(s) you're interested in fostering and include any age, size and/or breed restrictions. *

How were you referred to Chicago Pet Rescue? *

Applicant's Name *

First

Last

Applicant's Date of Birth (MM/DD/YY) *

Co-Applicant's Name *

First

Last

Co-Applicant's Date of Birth (MM-DD-YY) *

Applicant's Primary Phone Number *

Primary Phone Number is: *

Mobile Home Work

Second Phone Number *

Applicant's Email Address *

Do you own or rent your home? *

Own Rent

Applicant's Home Address *

Line 1

Line 2

City

State

Zip Code

Country

How long have you lived at this address? *

Do you have homeowner's or renter's insurance? *

Yes No

If you rent or own a condo, please notify your landlord/condo association first and include their contact information below. *

First

Last

Landlord / Condo Phone Number *

Landlord/Condo Email Address *

Do you have a car and are willing to drive your foster pet to vet appointments and adoption events? *

Yes No Willing to rent a car as needed

How many adults are in the household? *

What are their relationships? *

How many children live in the household? *

What are the children's ages? *

Have the children had pets before? *

Have all of the adults in the household agreed to foster ananimal? *

Yes No

Is anyone in the household allergic to pets? *

Yes No

If "yes", who is allergic and how do you manage it? *

Pet 1 - Name *

Pet 1 - Type / Breed *

Pet 1 - Age *

Pet 1 - Gender *

Male Female

Pet 1 - Spayed / Neutered *

Yes No

Pet 1 - Where is this pet now? *

Pet 2 - Name *

Pet 2 - Type / Breed *

Pet 2 - Age *

Pet 2 - Gender *

Male Female

Pet 2 - Spayed / Neutered *

Yes No

Pet 2 - Where is this pet now? *

Please list any additional pets (including name and type/breed. Our adoption counselor will ask you for more details. *

Have you ever given an animal away or relinquished one to an animal shelter? *

Yes No

If "yes", what were the circumstances? *

Veterinarian's Name *

Veterinarian's Phone Number *

When was your curent pet's last visit to a veterinarian and why? *

Any Additional Veterinarian Information *

Why are you interested in fostering an animal at this time? *

What room/space do you plan to use as a starter room/separation area for your foster animal for the first weeks (especially if you have other animals)?What room/space do you plan to use as a starter room/separation area for your new animal for the first weeks (especially if you have other animals)? *

Where will the animal be kept during the day? *

Where will the animal be kept at night? *

How many hours per day will the animal be left alone? *

What length of time can you foster an animal? *

Until the foster is adopted Ongoing as needed for an unlimited time Only for a limited time

If only for a limited time, how long are you available? *

How do you plan to house train your foster animal? *

Have you ever fostered for another animal welfare organization? *

Yes No

If "yes", which organization? *

What will you do if your foster animal develops a problem with any of the following behaviors?

Digging / Scratching *

Biting/Chewing *

Marking *

Barking/Hissing *

Agression *

Please describe any experience or training you have working with animals (include species) *

Are there any behaviors you're NOT willing to work with? Please describe: *

You must agree to the following statement: *

I certify that the information I have given is true. I understand that Chicago Pet Rescue reserves the right to deny my application for any reason. I further authorize the investigation of all statements in this application.