Foster Application

Name*
First Last
Date of Birth*
Date Format: MM slash DD slash YYYY

(Applicants must be 18 years of age or older to foster with Chicagoland Dog Rescue)
Email
Secondary Email
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Main Phone*
Alternate Phone
Current Employment*
- Full Time
- Part Time
- Retired
- Unemployed
- Student
- Other
Why you want to foster a dog?*
Please list your experience with dogs.*
How did you hear about Chicagoland Dog Rescue?

Emergency Contact*
Relationship
Emergency Contact Phone*
Today's Date*
Date Format: MM slash DD slash YYYY
Legal Name / Signature*
By filling out my full legal name below it represents my signature and recognition of the possible risk in working with animals and that it can lead to injury. I understand and assume responsibility of any and all liability and risk in volunteering with CDR. I waive and release CDR and its agents and representatives from any and all claims which may accrue to me arising out of or in connection with being a volunteer.
Prefix First Middle Last Suffix
Email
This field is for validation purposes and should be left unchanged.