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Intake/Surrender


Agreement To Transfer Ownership

Dog's Information

Please tell us what brand of preventatives you use, the dosages and the last date given.
Please tell us when your dog had their last heartworm test and fecal flotation.
Has Your Dog Been Tested For Hip Dysplasia?
Has Your Dog Been Used For Breeding?

Dog's Behavior

Has Your Dog Ever Bitten Anyone?
Does Your Dog Have Any Bad Habits? (Check any or all)






Please let us know how much your dog eats, what types/brands of food, when and where your dog eats.
Does Your Dog Like Other Dogs?
Does Your Dog Like Cats?
Does Your Dog Like Children?
Does Your Dog Like Adults?
Does Your Dog Prefer Men or Women?
Please let us know why you are surrendering your dog.
Thank you for filling out our owner surrender form.  Press the "Submit" button below and also send a photo or photos of your dog to nrgrr@hotmail.com.  After we receive your form and photos, one of our owner surrender volunteers will contact you.  If we accept your dog, please bring any supplies or other items that you would like us to have when you bring your dog.  When we meet, we will sign any necessary paperwork required for the surrender.  Also, voluntary donations are gratefully accepted.