FluffyButts Rescue Resort

JORDAN

Interested in a furkid? Well, ya have to let us know who you are. Just fill out this form and we'll get back to ya.

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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*
Your Name*
Partner or Spouse Name
Email*
Phone*
Street Address*
City*
State*
Zip code*
Age - Employer - Occupation*
Partner or Spouse Age - Employer - Occupation
Facebook profile (e.g. 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?

Living Situation
Home
Area
Own or Rent
Yard
Fence
Padlock
Hours the fluffy butt would spend alone
My fluffy butt's living situation (for example: run of the house - crated when gone - etc.)*
Do children frequently visit your home?
If the fluffy butt isn't kid friendly - what would you do when kids visit your home? (Points if you say "Crate the children." HA!)

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 be 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?
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?
Will you consider titering?
My fluffy butt eats...*
My fluffy butt's favorite treats are...*
Are your current fluffy butts over weight?
Disposition of current 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.
Friend 1*
Relationship to you (Friend 1)*
Phone Number (Friend 1)*
Friend 2*
Relationship to you (Friend 2)*
Phone Number (Friend 2)*
Friend 3*
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.
Electronic Signature*
Date Submitted*
Do not enter anything in this field:

* indicates a required field

Here we go... SUBMIT!!!

Please fill this field.

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