Adoption Application Form

Welcome to Fluffy Butts Rescue’s Adoption Application! 🐾

Fluffy Butts Rescue is a volunteer-run, nonprofit organization dedicated to rescuing, rehabilitating, and rehoming dogs in need — with a special focus on huskies, cattle breeds, and other high-risk shelter animals. Our efforts are primarily funded by our founder and generous supporters through fundraising and donations.

All animals in our care are housed either with the founder or in trusted foster homes, where they receive love, attention, and the individualized care they need to thrive. Every pet adopted through Fluffy Butts Rescue will be up to date on age-appropriate vaccinations, spayed or neutered, microchipped, and provided with any necessary medical care prior to placement.

This questionnaire is designed to help us find the most suitable match for each dog — ensuring the best fit for both the pet and the adopter. We ask that all parties involved in the adoption process complete the application in full. Incomplete applications will not be considered.

Please note that submission of an application does not guarantee approval, and Fluffy Butts Rescue reserves the right to deny any application at our discretion.

Thank you for choosing to adopt and for supporting rescue.

How did you hear about Fluffy Butts Rescue?*

Name of Pet You Wish to Adopt or are interested in*

Are you aware that there will be a nonrefundable adoption fee associated with the animal you are applying to adopt? Are you prepared to make the adoption fee payment in full and prior to finalizing the adoption of and taking home the animal? And understand it is nonrefundable (considered a tax donation)?*

YesNo

Perspective Pet Parent*

First NameLast Name

Age:*

Email Address*

example@example.com

Phone Number*

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Do you live in a:*

HouseApartment

Do you own or rent your home?*

OwnRent

Please provide your landlord's information here. Put N/A if you own your home:*

Are there children in the home? (If yes, please list ages)*

Describe your home's activity level:*

Busy/NoisyModerate comings/goingsQuiet with occasional guests

What length of time will you allow your new pet to adjust to their new home?*

Are you willing to work through your new pet's issues, if any?*

YesNo

Are you aware that a new environment is stressful for your pet, and they may exhibit uncharacteristic behavior?*

YesNo

Do you understand that a dog or cat can be an 12+ year commitment, and can cost on average $400-$700 per year to care for?*

YesNo

Anyone in the household allergic to animals?*

YesNo

Are all Members of the household agreeable to adopting an animal?*

YesNo

Who will be the pet's primary caregiver?*

Do you own any pets?*

YesNo

Pet Name(s)

Pet Breed(s)

Pet's disposition and behavior towards other dogs/cats?

Veterinarian Name*

First NameLast Name

Veterinarian Phone Number*

Please enter a valid phone number.

Do you have a yard?*

YesNo

Is it fenced? please describe (height, material, # of gates, and if gates are locked/lockable)*

What is your landlord's pet policy? Respond N/A if own home*

Have you ever surrendered a pet you own to any animal shelter including a "low" or "no kill" shelter?*

YesNo

How many hours per day would the pet be alone? *

Where will your new pet stay when no one is home? *

Will you crate your pet?*

If you have to leave town, emergently or planned, where would your pet stay?*

Where will your pet sleep at night?*

What are your plans to exercise your new pet? Ho many walks a day, length, and activities, etc?*

How would you deal with behavioral issues such as barking, chewing, destructive behavior, bathroom accidents indoors, unruly leash behaviors in your pet?*

Do you have a preference of species you would like to adopt?*

DogCatNo preference

Are you willing to adopt an animal of any age?*

YesNo

If No, what age would you consider?*

What size dog are you willing to adopt? (MArk all that apply)

SmallMediumLargeXLarge

Please describe the type of dog you are willing to adopt (including coat length, personality traits, energy level, etc):

Are you willing and able to take your new pet to vet appointments?*

YesNo

Are you willing and able to give your new pet any medications?*

YesNo

Are you equipped to train with love and patience (this includes potty training)?*

YesNo

Have you had prior experience with an emotionally/physically neglected/abused dog?*

YesNo

Have you had prior experience with a dog with medical conditions (Siezures, severe allergies etc)?*

YesNo

If yes to the either of the last 2, please explain:

3 Personal References*

Have you ever been convicted of an animal related crime, such as cruelty to animals, animal theft, or animal abandonment?*

YesNo

Please provide a detailed description:

If under any circumstances you were unable to keep your new pet, Fluffy Butt's Rescue INC requires that you agree to retrun the animal directly to the rescue and will not surrender to a shelter or another rescue, abandon, or rehome to another party (rehome: unless prior written concent is recieved from Fluffy Butts Rescue). If the animal is returned to Fluffy Butts Rescue INC., the adoption fee is nonrefundable.

Do you agree to these terms?*

YesNo

By signing this application and clicking the submit button, I agree to go through the adoption process, will undergo a homecheck, and interview.
By signing this application and clicking the submit button, I understand my references will be checked including veterinary and personal.
By signing this application and clicking the submit button, I understand there is an adoption donation associated with adoption of a pet and that it is tax deductible according to IRS 501(c)3 guidelines. I understand this donation will ensure the organization is equipped to rescue another homeless pet. I understand that it is a nonrefundable donation.
By signing this application and clicking the submit button, I understand there is no "cooling off" period, and that if I no longer want or can no longer care for my adopted pet, I agree to notify Fluffy Butts Rescue INC BY EMAIL and provide a 14 day period to allow Fluffy Butts Rescue INC to make arrangents for my pet to be taken back into rescue.
By signing this application and clicking the submit button, I agree to indemnify and hold harmless the rescue center against any losses, lawsuits, claims, injury, damages incurred by me or to any persons or property by my adopted pet, once adoption has been completed.
By signing this application and clicking the submit button, I understand that Fluffy Butts will disclose any of the pet's health or behavior issues known by the above named rescue group before adoption is completed.
By signing and clicking the submit button, I verify all of the above information is true and accurate.

Date*

Date

Signature of Potential Pet Parent*