Adoption Questionnaire At which CHS location is the pet you're interested in adopting?(Required) Newington, 701 Russell Road Waterford, 169 Old Colchester Road Westport, 455 Post Road East Is the pet you're interested in adopting currently in a foster home?(Required)NoYesAll adoptions in Newington are started with an application in person unless that pet is available from foster. Please visit CThumane.org/Adopt to learn more about the adoption process.Contact InformationPlease provide the name or ID number for the available pet you are interested in adopting.(Required)This pet is a:(Required)DogCatOtherDate(Required) MM slash DD slash YYYY Name(Required) Dr.MissMr.Mrs.Ms.Mx.Prof.Rev. Prefix First Last Spouse/Partner Name(Required) Dr.MissMr.Mrs.Ms.Mx.Prof.Rev. 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Have you adopted from CHS in the past?(Required) Yes No Date of previous adoption:When are you planning on bringing this pet home?(Required)I prefer a cat that has been declawed:(Required)TrueFalseNo preferenceI plan for my cat to live:(Required)IndoorsOutdoorsEqual time indoors & outdoorsBreed(s) I am interested in:(Required)I am interested in dogs with an adult size of:(Required) <25lbs (Small) 25-50lbs (Medium) 50+lbs (Large) No preference I am adopting this pet for:(Required) Myself My family My children Other If other, who are you adopting for?(Required)Adoption Fees:(Required) I have reviewed the following adoption fees.Canines: Puppies up to 6 months: $445* Dogs 7-12 months old: $275 Dogs 1-7 years old: $150 Dogs over 8 years old: $100 Felines: Kittens up to 6 months: $300 Cats 7-12 months old: $200 Cats 1-7 years old: $140 Cats over 8 years old: $80 Small Animals: Hamsters/mice/rats: $10 Guinea pigs: $25 Rabbits: $35 Ferrets: $70 Chinchillas: $100 Birds: Finches: $5 Doves $15 Parakeets: $15 Lovebirds (in pairs): $50 Cockatiels: $40 Exotic Types: MarketHouseholdNumber of adults(Required)Number of children(Required)012345+Children's ages(Required)Is anyone in the household allergic to:(Required) Dogs Cats Hay Other animals N/a If other, list animals:(Required)Dwelling type:(Required) Single-Family House Multi-Family House Apartment Condo Other If other, please describe:(Required)Do you own or rent where you live?(Required)OwnRentLandlord Name/Housing Complex:(Required)Landlord/Property Manager Phone Number:(Required)Are there pet policies or restrictions where you live?(Required)YesNoDescribe restrictions:(Required)Current PetsDo you currently have other pets at home?(Required)YesNoPlease tell us about any other pets that live in your home including their species, age, gender, spay/neuter status, etc.(Required)Previous pet experience:(Required)CAPTCHA
