I think I need to find a new loving home for my Poodle
Please Note:   Our adoption fees only cover part of the costs involved to provide this
service.  If you feel we perform a worthwhile service and can afford to contribute, we would
welcome your donation.  This can be done easily by visiting our Contact Us page.  We are a
tax-exempt organization under Section 501(c)(3) of the Internal Revenue Code.  Thank You!
Complete this form and then click on the SUBMIT button at the bottom of the page.
Name:
City/Town:
Address:
State:
Email Address:
Zip Code:
Phone Number:
Day
Evening
Describe the Poodle
Size:
 Age:
 Unknown (Estimate)
Sex:
Color:
Other Color:
 Poodle's Name:
The Poodle has had
problems interacting with:
 Small Children
 Fragile Persons
 Other Dogs
 Cats
 Other Pets
 Farm Animals
The Poodle has:
Physical Problems
 Behavior Issues *
Medical Conditions *
Name and Address of Veterinarian:
Name:
City/Town:
State:
Address:
Phone Number:
Zip Code:
Reason the Poodle
needs a new home:
Tell us about your
Poodle - the good
& the bad.
Check this box if you would like us to email you when we post our newsletter to the Newsletters Page
* BEHAVIOR and MEDICAL ISSUES - READ THIS!
We cannot place dogs that we believe will bite people.  If your dog has a history of biting please do not try to place
your dog through NorCal Poodle Rescue.  If we accept a dog for placement that we subsequently determine to be a
biter or to have other serious behavior or medical issues such that we determine it cannot be placed, WE MAY HAVE
THE DOG EUTHANIZED.  We have had to do this to less than 1% of our dogs.  By clicking on the Submit button
below you understand and accept this condition of surrender.
Please only press the submit button once!  A volunteer will acknowledge your request soon.