Ready to open your heart to a Cavalier in need?

Adopt/Foster Application

First & Last Name

Address

Phone Number

Email

I am applying to: Required

Adopt

Foster

Dog color preference: Required

Black and Tan

Blenheim

Ruby

Tri

Gender preference: Required

Female

Male

Current employer:

Job title:

How many adults reside in your home?

How many children reside in your home?

Tell us about your children:

Residence information:

City limit for pets?

Yard description:

Cavalier exercise plan:

Emergency caregiver?

Travel care plan:

Who will be responsible for the Cavalier?

Hours per day alone (no human present):

Tell us about your cats:

Knowledge of Cavalier breed?

How did you find GCCR?

Tell us about your dogs:

Veterinary Reference:

Personal Reference #1:

Personal Reference #2:

Note from applicant:

By submitting this application:

I certify that all information contained herein is true.
I recognize that completion of this application does not guarantee placement of a Cavalier in my home.
I will hereby forever release, discharge and covenant to hold harmless the Greater Chicago Cavalier Rescue and any other person, firm or corporation charged or chargeable with responsibility or liability, their heirs, administrators, executors, successors and assigns, from any and all claims, damages, costs, expenses, loss of services, actions and causes of action belonging to the Applicant(s), arising out of any act or occurrence pursuant to this application, and particularly on account of Greater Chicago Cavalier Rescue's placement of a Cavalier in the Applicant's care.

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