TRANSFER OF OWNERSHIP/RELEASE
Name: (Mr., Mrs., Ms., Dr.)______________________________________________
Address: ________________________________________________________
City: __________________________State: ______________Zip Code:___________
Primary telephone: ______________________________
Secondary/cell: ________________________________
E-Mail: ______________________________________
Name of Donkey: ________________________
How long have you owned the Donkey? ___________
Age: ___________
Sex _____________
Size: miniature, standard, mammoth (circle one)
Descriptions (color, markings):
How did you obtain the Donkey?
I. Donkey is trained for or procedure is a problem (please place a check mark to the left of all that apply):
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Halter broken |
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Loads well on trailer/Trailers well |
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Leads/walks |
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Well-socialized with children |
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Driving |
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Well-socialized with adults |
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Pack animal |
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Is an effective flock guard (for sheep, goats) |
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Riding |
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Difficult to trim hooves (fearful, kicks, bites, etc.) |
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Ground ties |
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Difficult to administer dewormer or injections (circle) |
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Other (please describe): |
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II. History of Health Care
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Most recent: |
Date: |
Name &/or product |
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Veterinary/health check |
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DVMs name & telephone #: |
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Vaccinations |
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Product used: |
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Deworming |
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Product used: |
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West Nile Virus vaccine |
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Coggins |
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Copy of most recent form must be provided |
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Hoof trimming |
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Farriers name: |
III. Please list any known medications given to or conditions affecting this donkey:
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IV. Provide any specific feeding instructions, special treats, or items/activities favored by this donkey:
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V. Additional general comments or concerns regarding behavior or other items not yet covered?
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VI. By signing this agreement you are releasing any and all claims to ownership of the Donkey named & described above. You may, by appointment, visit the donkey as well as follow its progress until it is placed in a new home by Turning Pointe Donkey Rescue.
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Signature [ above] of individual releasing donkey to Turning Pointe Rescue |
Date: |
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Transaction acknowledged/received by: (signature [ above] of TPR representative ) |
Date: |
Additional comments may be added to back of this page, if more space is needed.
Nov 2004
Please use the print button in your browsers window to print this form and mail to:
Turning Pointe Donkey Rescue
216 N. Meech Road, Dansville, MI 48819
