Dogs

Invalid Submission Values

    Chautauqua County Humane Society Online Adoption Application
    **IF THE CAT YOU ARE LOOKING AT SAYS "ADOPT ME AT PETSMART" YOU DO NOT HAVE TO FILL OUT AN ONLINE APPLICATION. APPLICATIONS ARE HANDLED IN THE STORE. THANK YOU**
    Why do you wish adopt this pet? (required)
    Are you over the age of 18? (required)
    Do you live alone? (required)
    I live in a (required)
    I own/rent (required)
    Does anyone in the home have allergies to animals? (required)
    Are all animals in the household up to date on vaccines? (required)
    Can you show proof if necessary? (required)
    Will you be bringing any dogs from home to meet a pet? (required)
    Do you plan on leaving your pet? (required)
    Do you plan on leaving your pet outside? (required)
    What is the level of activity for your family? (required)
    Are your activities (required)
    Are you able to provide preventative care (yearly vaccinations) and emergency care (for illness or injury) for this pet (estimated at $250-$300 a year)? (required)
    Do you expect to move for any reason in the next 3 years? (required)
    Are you ready to provide this pet with a permanent home for the rest of it's life, which can be 10-20 years? (required)
    Has a pet died in your home in the last 3 months? (required)
    Have you adopted from CCHS before? (required)
    Do you still have the pet?
    **All medical costs incurred after adoption are the responsibility of the adopting party and not that of CCHS** (required)
    I certify the information I have provided is true to the best of my knowledge (required)

    Example: ##/##/####

    (required)

    Example: janedoe@fakeemail.com

    CCHS RESERVES THE RIGHT TO DENY ANY ADOPTION
    PLEASE CLICK THE SUBMIT BUTTON ONLY ONCE AND THEN WAIT FOR THE FORM TO PROCESS. THANK YOU.