Windy City Canine Rescue

In order to be considered for an adoption you must:
1) be 21 years of age
2) have the knowledge and consent of all adults living in your household
3) understand that completing this application does not guarantee adoption and that the Windy City Canine Rescue must approve your application.

Please provide the following information about your household:

Please list any pets you now have, or have had in the past. We want to know:
- their name,
- type/breed,
- age,
- sex,
- a little about their personality,
- whether they are/were spayed or neutered,
- why you no longer have them, and
- where you got them

A dog can live well over 10 years and requires a major commitment of time, finances and emotion. Why do you feel you can make that kind of commitment at this time?

Can you tell us a bit more about yourself and your family and why you think this dog would be suited for your lifestyle?

Please list 3 personal references below including their name, their relationship to you and a phone number we can reach them at.

By clicking "Accept" below, I certify that the information given is true and correct and I recognize that any misrepresentation of facts will result in my losing the privilege of adopting a pet. I also give my veterinarian permission to release any vet care records and information about my current and past pets to the Windy City Canine Rescue. I understand that this application is the property of the Windy City Canine Rescue and that the Windy City Canine Rescue has the right to deny my request to adopt.