Churchill Foundation Application

If you are interested in adopting, fostering , and/or volunteering with us. Please fill out this form.

What are you interested in doing? *	Adopt Volunteer Foster
First Name *
Last Name *
Street Address *
City *
State *
Zip Code *
Phone Number * Please use the following format 248-555-1212
Email Address * Please enter correctly as this is the main way we will contact you
Date of Birth *
I/We understand that The Churchill Foundation makes no guarantees or warranties regarding the health or temperament of their animals. I/We promise to indemnify and hold harmless The Churchill Foundation from any and all claims of liability for the conduct of their animals on or after the date of this application. This Release of Liability and Indemnification shall apply to all known, unknown and unanticipated damages resulting from my/our volunteering, fostering, adoption, ownership or control of such animal. *	Clear