| Which animal are you interested in? |
Horse
Dog
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| Where do you work? |
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What type of animal education do you have that would benefit this animal?
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| What shelter is available for this animal? |
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| What type of fencing do you have? |
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| How many acres? |
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| Will this animal have a companion? |
yes
no
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What is the name and phone number of your veterinarian? |
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Is it ok to contact him or her?
yes
no
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What type of food will this animal be given?
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| How long have you been familiar with this animal? |
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| Are you aware of the vaccinations and de-worming for this animal? |
yes
no
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| Would you like to donate regularly to our rescue? |
yes
no
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| If so, how much can you donate and how often? |
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$
Weekly, Bi-weekly, monthly, or other:
|
| Please list 5 references. You must include name, number, and
relationship to you. |
| Reference 1: |
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| Reference 2: |
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| Reference 3: |
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| Reference 4: |
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| Reference 5: |
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Heartfelt Animal Rescue does not guarantee the health of any animal that we adopt out, and will not be held
responsible for any animals that become ill or deceased, do you agree?
yes
no
|
Heartfelt Animal Rescue is not responsible for any vet bills incurred once the animal leaves the premises of
Heartfelt Animal Rescue, do you agree?
yes
no
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If the dog you are adopting is not spayed or neutered, you will have 60 days to get this dog fixed, do you agree?
yes
no
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Heartfelt Animal Rescue is not responsible for any of the animals actions once they leave Heartfelt Animal Rescue
premises, do you agree?
yes
no
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All deposits and adoption fees are non-refundable, do you agree?
yes
no
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Please enter this text in the box provided.
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