Surrender Request

We may be able to accept owner surrender in rare cases of extreme hardship.  If we are able to help in the case of an owner surrender there will be a waiting period and we may ask the owner to act as the foster home until the dog can be placed for adoption.

The following veterinary medical records are required for an owner surrender request:

  • Rabies Vaccination
  • DHLPP Vaccination
  • Spay/Neuter evidence (veterinarian documented scar or record of surgery)
  • Heartworm test results

 

For a dog to be surrendered to NBCR, we ask for the owner's help by providing the following information.

We request as much information as possible from the owner so that we are able to place a dog in an appropriate foster home.  Please provide detailed in responses.

Contact Information
Name:

Phone Number:

Email Address:

Address:

City, State:

Zip:

What is the name and contact information for your current veterinarian? Please provide or attach veterinary records.

Attach records here:

Dog's name:

Dog's age:

Dog's gender:

Is your dog intact or altered (spayed/neutered)?
IntactSpayedNeutered

Why are you seeking to surrender your dog?

How does your dog interact with other dogs?

How does your dog interact with people?

Where does your dog spend the majority of their time? Are they indoors? Outdoors? Kenneled?

Anything else you would like us to know about your dog...