Surrender / Intake Application

Please take the time to complete this application with care, accuracy and with as much detail as possible. This information will assist GRASS in caring for your golden and make the transition easier for you dog.

GRASS must have a signed surrender intake questionnaire and release before agreeing to take your dog.

After reviewing your information a GRASS representative will contact you.

In addition to submitting the online form, you will be required to email or submit during the dog surrender the following:

  • A photo of the dog
  • Copy of all veterinary and shot records
  • Microchip registration information (if applicable)

** Please note that receipt of this form does not guarantee acceptance of your dog into the Sanctuary. ** 

GRASS is a non-profit organization funded solely by donations and staffed entirely by volunteers. A donation at the time of surrender would be greatly appreciated to help us care for your Golden.

Fields marked with an * are required

Preliminary Information