Surrender Form

Please note that NGRR is chartered to operate in Northern California from San Luis Obispo and Fresno counties to the Oregon Border and the Reno/Lake Tahoe area of Nevada. If you are within this area, please select the County/City pair closest to you from the dropdown below (this is a required field).

You must complete your application once you begin. If you leave the questionnaire and return later, you will have to start over.

If your county is not listed (meaning you are outside our chartered area), we suggest that you instead contact your local state rescue group which can be found at: www.grca-nrc.org

Personal Information

Basic Dog Information:

Dog History:

Medical / Physical History:

Living Conditions

Children, Pets, Cars

Behavior / Training

Aggression Issues

Possession Issues

Surrender Reason