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Relinquisher s Signature: _________________________________________ Date: _______________ Intake Personnel Initials: __________ Rabbit Haven Animal Intake Form Animal Name: _____________________ Animal Species:_____________________ Animal Breed: _____________________ ______________________ Animal Age: _____________________ Animal Color: _____________________ ______________________ Animal Gender: ____________________ Spayed/Neutered: ___________________ ______________________________________________________________________________________________________________________..02D "мB 2 $&(`bќš>тфDFHJRXZtšтфцш2ЌЎАќvxzФјєєєєєєєєєєєєєєєєєєєєєєєєєєЬ  ššššššššššš   ,2‚"'(Š  л)л @ЗS З(2‚"'(Š  л)л @ЗS ЗCHNKWKS LјJTEXTTEXTFDPPFDPPFDPCFDPCFDPCFDPC STSHSTSH"(STSHSTSH("vSYIDSYIDž"4SGP SGP в"INK INK ж"BTEPPLC к"BTECPLC ђ" FONTFONT#tEOBJPLC †#РTCD PLC F$TCD PLC Z$TCD PLC n$TCD PLC ‚$TCD PLC –$TCD PLC Њ$____________Date: ________________ ќџќџќџќџќџќџќџќџ Please describe this animal s lodging arrangements, including any differences between day and night housing. _______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ How long has this animal been in your care? ______________________________________________ Did this animal have any other animal companions? __________ If yes, please describe: _______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ Does this animal have any preferences to men, women, children or other animals? __________ If yes, please describe: _______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ Is this animal housetrained? __________ Does this animal have any special needs? __________ If yes, please describe: _______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ Additional comments: ______________________________________________________________________________________________________________________________________________________________________________________&2BF "xм>Œ* x А Ъ  h–$(`blќ šЄюњ">J€žфDJbиІxJиJиJиJиJиJиJиJииJиJиJиJиJиJиJиюиJ. 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