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We are a 501(c)3 Organization
Owner Surrender Application

The following documents must be presented to a NWGSR volunteer prior to your dog's temperament evaluation:

  • A copy of the dog’s Rabies Certificate and proof of distemper vaccination. NWGSR will not meet with your dog without proof of your dog being up-to-date on rabies vaccination. 
  • Proof of ownership. This can be in the form of registration papers, a copy of the purchase receipt for the dog, a copy of the dog license receipt, or copies of veterinary records.
  • We are an all volunteer organization. If you are financially able, we would ask that you provide a small donation with your application to paritally cover the costs of running the rescue, including providing a website, insurance, etc.

* Required fields
Name *
E-mail Address *
Phone Number *
Location of the dog (City/State) *
Are you the Legal Owner of the dog? *
What is the dog's name? *
What is the sex of the dog? *
About how old is the dog? *
Is the dog spayed/neutered? *
Are you willing to have the dog spayed or neutered prior to surrender? *
Are the dog's vaccinations up to date? *
What is the reason you would like to surrender your pet? *
Does the dog have any medical issues that you are aware of? *
Please describe the dog, likes and dislikes, etc. *
Does the dog have any behavioral issues, including housetraining issues, leash aggression, protectiveness, shyness, timidness, etc.? *
When do you need to place your dog by? *
Veterinarian's Name *
Vet Phone Number *
Vet Address (City & State required) *
Last Vet Visit *
Weight *
Color *
When does the rabies vaccination expire? *
Is the dog up to date on Distemper and Bordatella? *
Please list any medical conditions and medicines the dog is on. *
What is the name of the breeder/shelter/other where you got the dog? *
At what age did you get the dog? *
Is the dog housebroken? *
Is the dog crate trained? *
Has the dog had any formal obedience training? *
Name and contact information for the trainer used *
What commands does the dog know? *
How well does the dog walk on a leash? *
What toys and games does the dog like? *
Where does the dog spend days? *
Where does the dog spend nights? *
How many hours is the dog home alone? *
Has the dog been raised with children? If so, what are the ages of the children that it has been around? *
Please describe your dogs behavior specifically in each of the following areas and provide any additional insight to help us understand your dog and find the best possible adopter. Other Dogs? *
Cats & small animals? *
Children? *
Strangers? *
Being alone in house? *
Riding in Car? *
Thunderstorms/Fireworks? *
Can you pet dog while they are eating and can you take away the food bowl? *
Can you take toys or treats out of your dog's mouth? *
Does your dog dislike any class of people, such as mailmen, uniforms, men, people in sunglasses, etc.? *
Does the dog have any type of bite history (including not breaking skin) with people, children, animals, livestock, etc? *
If yes, then please explain the circumstances?
Please tell us something special about your dog to help us find the best home for the dog. *
Please tell us if there are any habits or unusual behavior a potential adopter should be aware of. *
Signature Approval *
Signature of Owner *
Date *


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With Your Signature Above, You Agree to the Following:

I understand that I am surrendering my dog to Northwest German Shepherd Rescue (NWGSR).

I understand that the information pertaining to my dog will be posted on the internet, and that NWGSR will be presenting my dog to approved adopters.

I understand that before entering the NWGSR Owner Surrender Program, my dog will be temperament tested. The decision to include my dog in the program is solely at the discretion of NWGSR. I agree to provide NWGSR with all medical and temperament histories and will not withhold any information that could be considered detrimental to the placing of my dog for adoption.

I understand that the final decision regarding with whom to place the dog is the sole right of NWGSR and its adoption requirements. I certify that I am the owner of the dog and all information is true and complete. Further, I hereby forever release, discharge and agree to indemnify and hold harmless Northwest German Shepherd Rescue and its members and representatives against any and all claims, known or unknown, now or hereafter, and from all claims in connection with the adoption of, or any other dispostion of, the above named dog.

I understand that my electronically-generated signature above is valid as a means of legal signature for the purpose of this Owner Surrender Application.

© Northwest German Shepherd Rescue, a federally-registered, all volunteer 501(c)(3) nonprofit organization