FOSTER CARE REPORT

Scottish Terrier’s Registered Name: ________________________________________________________ Call Name: ________________________________________

Sex: _______________________________ Birthdate: ______________________________

Registration Papers? YES NO

Spayed/Neutered? YES NO

Housebroken? YES NO

Tattooed? YES NO

Crate Trained? YES NO

Fleas? YES NO

Physical Problems or allergies: _____________________________________________________________

______________________________________________________________________________________

Veterinarian (name and address):

Is this Scottie on heart worm preventative? YES NO If so, what kind? __________________________

Date of last visit to vet and immunizations received: ____________________________________________

______________________________________________________________________________________

Has this dog been checked for: Hip Dysplasia?

VWD?

Heartworms?

How long have you cared for this dog? ______________________________________________________

Has this dog ever run away?_______________________________________________________________

While in your care, has this dog ever bitten or nipped anyone?____________________________________

If so, please describe the incident(s)__________________________________________________________

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

___________________________________________________________________

In its original home, what family members is this dog used to (men, women, cats, dogs, etc.)?

______________________________________________________________________________________

In your care, how has this dog reacted to

other dogs?__________________________________________________________________________

cats? _______________________________________________________________________________

children?____________________________________________________________________________

infants?_____________________________________________________________________________

strangers? __________________________________________________________________________

walking on leash? _____________________________________________________________________

being alone in fenced yard? _____________________________________________________________

being alone in house?__________________________________________________________________

being alone in car?____________________________________________________________________

being groomed?_______________________________________________________________________

having nails clipped? __________________________________________________________________

What does this dog like best? ______________________________________________________________

like least? ___________________________________________________________________________

fear? _______________________________________________________________________________

How does this dog react when unhappy? _____________________________________________________

when afraid? _________________________________________________________________________

How would you describe the dog's overall temperament (please check one):

friendly_____ aggressive_____ shy_____

Where is this dog used to spending its days? __________________________________________________

Nights? _______________________________________________________________________________

What dog food, and how much, does this dog eat? _____________________________________________

How many times a day? __________________________________________________________________

Has this dog been through any kind of training? YES NO

If "YES," trainer name: ________________________________________________________________

Organization/Individual School: _________________________________________________________

Type of training: _____________________________________________________________________

What commands or tricks does this dog understand? ___________________________________________

______________________________________________________________________________________

Would you characterize this dog as obedient or disobedient? Why?_______________________________

____________________________________________________________________________________

_____________________________________________________________________________________

What behavior problems has this dog exhibited?

escape artist YES NO

car chaser YES NO

animal/livestock killer YES NO

excessive howling YES NO

excessive barking YES NO

chewing YES NO

digging YES NO

house soiling YES NO

other: _____________________________________________________________________________

__________________________________________________________________________________

__________________________________________________________________________________

Describe what you feel is the ideal home for this particular Scottish Terrier: _________________________

___________________________________________________________________________________

___________________________________________________________________________________

What was the stated reason for this dog being surrendered to you? ____________________________________________________________________________________

Is there anything else you feel is important about this Scottie:

_____________________________________________________________________________________

_____________________________________________________________________________________

_____________________________________________________________________________________

___________________________________________________________________________________

I, ________________________________ , hereby certify that I have provided foster care for this Scottish Terrier from ____________________ to ____________________ . I also certify that all statements made on this form are true and correct.

Signature: __________________________________________ Date: __________________________

Name (print):_________________________________________________________________________

Organization (print):____________________________________________________________________

____________________________________________________________________________________

____________________________________________________________________________________

____________________________________________________________________________________

____________________________________________________________________________________