rescue Application

This application is restricted to rescues applying for sponsorship for pets with mobility issues coming through the CRISP program or pets pulled by rescue from Chicago Animal Care and Control or in the Chicagoland area.

**Please note BWF DOES NOT provide assistance for surgical procedures or common orthopedic conditions (ie Cruciate Ligament (CCL) tear, hip dysplasia, luxating patella, arthritis, etc).**

Rescue Contact *
Rescue Contact
Please indicate if the weight is lbs or kg.
Gender *
Spayed/Neutered? *
What form of sponsorship are you applying for: *
By clicking agree and submitting this application I acknowledge the following: *
I have read Bialy's Wellness Foundation's mission statement and application guidelines. If approved, I am willing to participate in press, stories and/or updates, which may include a member of Bialy’s Wellness Foundation taking photos or videos in your home, at a veterinary clinic, rehabilitation facility or any other event pertaining to the sponsorship or submitting photos or videos as requested. If within an area where Bialy's Wellness Foundation has an established relationship with veterinary or rehabilitation services, I will take my pet to their preferred facility. I will acknowledge Bialy’s Wellness Foundation’s sponsorship on Facebook, Twitter, Instagram or any other social media platform I have access to and share their mission. I will participate in all surveys Bialy's Wellness Foundation provides in order to evaluate and continue their mission. I give permission to Bialy's Wellness Foundation to contact my veterinarian regarding my pet and give consent to release records to them for review. All information provided within this application is true, correct, and complete, to the best of my knowledge.