Owner Surrender Request – Pacific Northwest Cattle Dog Rescue

Dog's Name *

Dog's Location *

First

Middle

Last

Your Name *

First

Last

Email *

Email

Confirm Email

Phone *

Address *

Address Line 1

Address Line 2

City

State

Zip Code

What is your relationship to the dog? *

PNWCDR has working relationships with other rescues and with working dog detection teams. If we feel your dog is a good candidate for another organization, can we share the contents of this surrender request with them? *

Yes
No
Unsure

Are you able to travel with your dog(s) to southwest Washington or northwest Oregon for an in-person evaluation? (See map below) *

Yes
No
Unsure

Please note: an evaluation is not a guarantee of intake

Checkboxes *

I agree that all information provided is correct to the best of my knowledge.
I agree that a representative of PNWCDR can contact me with further questions.
I understand that submission of this request does not guarantee the intake of my dog to PNWCDR.

How did you hear about PNWCDR? *

Date *