DONKEY ADOPTION INTEREST SURVEY
216 N. Meech Road, Dansville, MI 48819; Ph: 517-623-0000
Name: (Mr., Mrs., Ms., Dr.)______________________________________________
Address: ________________________________________________________
City: __________________________State: ______________Zip Code:___________
Primary telephone: ______________________________
Secondary/cell: ________________________________
E-Mail: ______________________________________
216 N. Meech Road., Dansville, MI 48819; Ph: 517-623-0000
I’m interested in a:
Gender: Gelding Jennet No Preference
Size: Miniature , Standard , Mammoth , No preference .
Age: 4-6 months ; 6 months - 2yrs ; 2 - 20yrs ; senior years .
II. Do you now or have you previously owned donkeys or horses? .
III. What type of pasture/fence area and shelter do you currently have available for the donkey?
IV. Will the donkey be with other equines or other animals in the same area/pasture?
V. What interests/activities have you anticipated doing with your donkey?
Please place a check mark to the left of each option that applies
| Pet only | Driving | ||
| Pack animal | Riding | ||
| Show | Companion animal for handicapper/disabled | ||
| Guard animal for a flock | Companion for a horse | ||
| Other (please describe): | |||
VI. Please provide the names of your large animal veterinarian and farrier that you currently call, or would call, regarding the provision of care for your donkey.
| Veterinarian’s name: | ||
| City/State: | Telephone #: | |
| Farrier’s name: | ||
| City/State: | Telephone #: | |
VII. May we call for references: Your veterinarian [yes / no] and farrier [yes / no]?
(circle one for each)If you are not currently using a veterinarian or farrier, please provide a minimum of two additional references that we may contact:
| Name | Telephone # |
| (1) | |
| (2) | |
| (3) |
Nov 2004
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Turning Pointe Donkey Rescue
216 N. Meech Road, Dansville, MI 48819
