Heal Animal Rescue
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Heal Animal Rescue
Animal Intake Waiting List
Animal Intake Waiting List Questionnaire
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First Name
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Last Name
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Email
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Mobile Phone
Which animal(s) do you need to surrender?
Dog
Cat
Pig
Chicken
Duck
Sheep
Goat
Mule
What is the status of the animal needing assistance?
Owner Surrender
Stray
If owner surrender, why are you looking to rehome your pet? Please indicate if the pet was originally adopted from a shelter, and which shelter?
If a stray, have you had the animal scanned for a microchip or posted the animal on lost/found sites?
Name of animal, if applicable?
Age of animal?
Gender?
Size (Approximate Weight)?
Breed, Markings, Color, Attributes?
Has the animal been spayed/neutered?
Is the animal up-to-date on vaccinations?
Is the animal friendly with people, other animals, children?
Is the animal house trained/litter box trained?
Is the animal crate trained?
Has the animal ever shown signs of aggression? If so, please explain any apparent triggers.
Any other information that would be helpful for our team to know?
