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. This will help us greatly with the transition for your dog.
Is the dog spayed and/or neutered?
Dog's Current Age
Dog's Age When Acquired
Does the dog have a Microchip?
If yes, List Microchip Number
How was this Dog Acquired?
Is this Dog a Stray?
Veterinarian's Name or Practice Name
Veterinarian's Phone Number
Date of Last Rabies Vaccine
Date of Last DA2PPv Vaccine
Date of Last Bordetella
Date of Last Heartworm Test
Result of Last Heartworm Test
Date of Last Heartworm Preventative Medication Given
What Manufacturer or Brand do you use.
Is the dog housebroken? Fully potty trained?
Any known health issues
What Brand of Dog Food do you feed your dog
How much do you feed him/her each meal?
Does the dog have any
known food allergies?
If Yes, please state known allergies
What's the dog's favorite
How long is the dog used to being alone during the day?
Where does the dog spend
Where does the dog sleep
Is the dog fearful of
This dog (check all that are TRUE):
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?
What are the dog's best
What are the dog's worst
Why are you giving up this
Are you the owner of this
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.
Relinquisher's Name (to act as signature)