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FAITH ANIMAL RESCUE

CHANGE OF OWNERSHIP

THIS IS A CONTRACT

Between FAITH ANIMAL Rescue and:

Type of Animal
Sex
Male
Female
Unknown

To the best of my knowledge:

The animal is up to date with incocculations.
Yes
No
Unknown
Booster Due
2nd Vaccination Due
Has the Animal Bitten?
Yes
No
Don't know
Is the Animal Neutered?
Yes
No
Don't know
Please check all that apply - The Animal:
Is good with children:
Aged 1+
Aged 5+
Aged 10+
DOES NOT like children
Likes all children
Can be left alone in the house
1 hour
2 hours
3 hours
4 hours
Whole working day.
Can't be left in house alone.
When left alone is the animal
Loose in the house
In a crate or cabin in house
Restricted to one room
Outside in the garden in a kennel
Other
Is the animal undergoing veterinary attention or have ongoing medical conditions
Yes
No
Does the animal have any dietary needs?
Yes
No
CATS ONLY - area lived in was;
Rural
Urban/Town
Urban/City
Farm Cat
Feral Cat
Indoor only Cat
Other
ID seen
Driving Licence
ID Card
Bill or bank card
Other
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