Create Account or Log In:
Creating an account or logging in via facebook/email will let you save your application, and allow you to access your pets medical records and other important information after you adopt or foster.
Please answer questions as best as you can. We also ask that you call your vet and give them permission to send us a copy of your pet’s records. This will help us greatly with placing your dog in the right foster home for their needs and scheduling proper vetting as well as the overall ease of transition for your dog.
Dog's Name
Dog's Breed
Dog's Gender
Dog's Current Age
Dog's Age When Acquired
How was this Dog Acquired?
Is this Dog a Stray?
Dog's Weight
Dog's Color
Date of Last Rabies Vaccine
Date of Last DA2PPv Vaccine
Date of Last Bordetella Vaccine
Date of Last Heartworm Test
Result of Last Heartworm Test
What Manufacturer or Brand of Heartworm Prevention do you use?
Schedule and Date of Last Heartworm Preventative Medication Given
Veterinarian's Name or Practice Name
Veterinarian's Phone Number
Is the dog altered (spayed or neutered)?
Is the dog housebroken? Fully potty trained?
Any known health issues or special needs
Does the dog have a Microchip?
If yes, please provide the Microchip Number
This dog is comfortable with:
If the dog is uncomfortable with people/animals, please explain the dog's reaction
To your knowledge, has the dog ever bitten anyone?
If the dog has bitten someone, was the bite a one-time event or an ongoing concern? When was the last instance of a bite (estimated date)? Have there been any extraordinary circumstances at the time a bite/bites, like breaking up a dog fight?
This dog (check all that are TRUE):
Is the dog fearful of anything?
How long is the dog used to being alone during the day?
Where does the dog spend the day?
Where does the dog sleep at night?
What Brand of Dog Food do you feed your dog
Feeding Schedule
How much do you feed him/her each meal?
Does the dog have any known food allergies?
If Yes, please state known food allergies
What's the dog's favorite toys?
What are the dog's best characteristics?
What are the dog's worst characteristics?
Why are you giving up this dog?
Are you the owner of this dog?
If you are releasing this dog to our Rescue on behalf of someone else, why?
The owner surrendering this dog understands that any photos, medical records, or information provided are now the property of Boston Terrier Rescue East Tennessee. We may use cute pictures and information supplied by the previous owner to help find a new foster or forever home for the pet surrendered.
Please attach photos of your dog here.
Photo attached
Photo #2
Photo #3
Relinquisher's Name (to act as signature)
Today's Date
Create Account or Log In:
Creating an account or logging in via facebook/email will let you save your application, and allow you to access your pets medical records and other important information after you adopt or foster.