FluffyButts Rescue Resort
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You need to fill out this application once you decide to make the lifetime commitment of being adopted by one of our kids. After you fill this out, we'll contact you. If you don't hear from us within a couple of days, feel free to send a NICE email to us. Sometimes things get lost in cyberspace but don't worry - just let us know you filled out the application. I know the application seems long but these kids are worth it.
Fluffy Butt I am interested in
Partner or Spouse First Name
Partner or Spouse Last Name
Partner or Spouse Email
Age - Employer - Occupation
Partner or Spouse Age - Employer - Occupation
FaceBook Profile (eg. www.facebook.com/fluffybuttsrescue)ebook Profile (eg. www.facebook.com/fluffybuttsrescue)
Children who live at home and their ages
Others who live in your home and their ages
Is everyone in your home excited about being adopted by a fluffy butt?
Someone will need some convincing
Can I explain?
Single Family Home
Own or Rent
Living with Extended Family
Area completely fenced
Partially fenced in area
No yard or fence
Yard with no fence - darn it
Fence with no yard - even worse
Chain link - at least 4 high
Will padlock the gate
We don't padlock the gate
We don't have a fence
Hours the fluffy butt would spend alone
I'm home most of the time
Less than 2 hours a day
Less than 4 hours a day
Up to 8 hours a day
More than 8 hours a day
More than 10 hours a day
My fluffy butt's living situation (for example: run of the house - crated when gone - etc.)
Fluffy butts who now own me are...
Will you take your fluffy butt to obedience school?
Gender preference of your fluffy butt
Age preference of my new fluffy butt
How do you feel about potty training your new fluffy butt?
I want to adopted by a fluffy butt because...
Things I want to do with my fluffy butt are...
I would give up my fluffy butt if...
Species - gender - age of current fluffy or not-so-fluffy butts
Are your current fluffy butts vaccinated?
All my fluffy butts are up-to-date
I am a little late on vaccinations
My fluffy butts only get rabies now
I have no fluffy butt right now
Are your current fluffy butts spayed or neutered?
If one or more of your fluffy butts are not fixed please tell us why...
Do you use heartworm or flea preventative?
My fluffy butts are protected from heartworms and fleas
My fluffy butts are protected from heart worm only
My fluffy butts are protected from fleas only
We don't need to do either
Will you consider titering?
We have titers done every year or so
We never have titers done
I don't know what titers is but am willing to learn
My fluffy butt eats...
My fluffy butt's favorite treats are...
Are your current fluffy butts over weight?
My fluffy butt is not overweight
My fluffy butt could stand to lose a little bit
My fluffy butt could sink the Titanic
I hope you aren't asking about MY fluffy butt (smile)
Disposition of current fluffy butts
My fluffy butt is the boss of me
My fluffy butt only THINKS she or he is the boss of me
My fluffy butt doesn't care who the boss is
My fluffy butt is kinda sorta timid
My fluffy butt is scare to death of other fluffy butts
Please tell us how your fluffy butt reacts when meeting other fluffy butts
Please tell us about the other fluffy butts you've had in the past 10 years
Here's your chance - convince us why you should be adopted by one of our fluffy butts
Finally - the last section - WAHOO!!!
Please tell us the organizations you support and how
We don't always know all the issues the fluffy butt comes to us with but expect you to be willing to work with your fluffy butt regarding any health or behavioral issues that fluffy butt might have.
Name of current dogtor (vet)
Vet Phone Number:
Please provide the information below for three people NOT RELATED TO YOU who can tell us more stuff about you.
Relationship to you (Friend 1)
Phone Number (Friend 1):
Relationship to you (Friend 2)
Phone Number (Friend 2):
Relationship to you (Friend 3)
Phone Number (Friend 3):
I pawmise that all the information in this application is true. I understand that if any information found on this application is false my application will find it's way to the Round File. I understand that a home visit may be requested and I agree to allow a FluffyButter to come into my home to make sure I'm not a cereal killer or psycho.
I understand there is an adoption donation amount I agree to pay if I am lucky enough to get approved to be adopted by a fluffy butt (enter Yes in the box).
By submitting this form I am agreeing that the name entered below shall serve as my electronic signature.
Do not enter anything in this field:
indicates a required field
Here we go... SUBMIT!!!
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Where there's always room for four more feet!