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.

Personal Information

Basic Dog Information:

Dog History:

Medical / Physical History:

Living Conditions

Children, Pets, Cars

Behavior / Training

Aggression Issues

Possession Issues

Surrender Reason