Name
*
First Name
Last Name
Email
*
Phone number
*
Address
*
City, State, Zip
*
Please list board dates needed and number of dogs
*
What is your dog's name, age & breed?
*
How long have you had your dog/s?
*
Is your dog up to date on core vaccinations? (please email proof of vaccinations to betweenthepineskennel@gmail.com)
*
Yes
No
Please provide vet clinic name and phone number.
*
Is your dog current with flea & tick prevention?
*
Yes
No
Is your dog spayed / Neutered?
*
Yes
No
Does your dog have separation anxiety?
*
Yes
No
Is your dog on any form of medication or suppliments?
*
Yes
No
If yes, please list
Is your dog off leash trained?
*
Yes
No
Is your dog crate trained?
*
Yes
No
Does your dog have any aggression towards people or other dogs? If yes, please explain
*
Has your dog ever bit a person / animal? If yes, please explain
*
What form of exercise does your dog require on a daily basis?
*
How much an how often does your dog eat?
*
Please list any other medical or behavioral information i should know.
*
If there is an emergency, do we have permission to bring your dog to the vet?
*
Yes
No
If your vet does not have availability, is closed or too far away, do we have your permission to bring your dog to the nearest vet or emergency vet should an emergency arise?
Yes
No
Please provide an emergency contact incase we cannot get ahold of you.
*
Has your dog had any prior training in mushing or dog powered sports? If yes, please explain
*
What type of sports will you be doing with your dog? Please list all you're interested in.
*
Do you understand that mushing and dog powered sports can be dangerous for both you and your dog? (Yes , No or N/A)
*
Do you agree that should an injury happen to either you or your dog while partaking in mushing or dog powered sports that you will not hold Between the Pines kennel liable for injuries? (Yes, No or N/A)
*
Do you understand that BPK cannot make your dog enjoy dog powered sports? We will do our best to provide a positive experience, but there in no guarentee or refund should your dog not want to partake? (Yes, No to N/A)
*
Is your dog at least 1 year of age or older?
*
Does your dog have any health concerns? If yes, explain
*
Do you want to proceed with mushing and dog powered sports training / form of exercise while boarding with BPK? (Yes, No or N/A)
*
By e-signing below, you agree that you understand the risks involved with training and partaking in mushing / dog powered sports and you will not hold Between the Pines Kennel, LLC liable to any injuries that may occur to you or your dog during or after training. (Please type full name)
*