About Your Dog - Please fill all boxes

The online form is currently not functional. We hope to have the glitch fixed soon.

Please email us with details about your pet at backcountryk9kennel@gmail.com

Our areas of interst include the following:

All guest owners must read and agree to the terms of the Waiver before bringing their dog(s) to Backcountry K9 Kennel.I have read the Waiver included in this website and agree to its terms.

Dog's Information - For your convenience, you can copy and paste this list into your email.




Sex (Male or Female)

Date of Birth (approximately - YYYY - MM - DD)

Is your dog microchipped?

Is your dog tattooed for identification?

Has your dog ever been boarded in the past?

Does your dog have any known fears?

Please provide details of their known fears.

Please describe your dog’s temperament. Example: “My dog is very calm but nervous of new people”

Please describe your dog’s physical condition. Example: “My dog is young and fit but does tend to limp if he runs too much”

Health Information

Current Veterinary Clinic

Veterinary Clinics Phone Number

Is your dog up-to-date with rabies vaccination?

Is your dog on Heartworm prevention?

Is your dog on any medications or have any medical conditions?

If yes, please provide details:

Does your dog have any allergies?

If yes, please provide details:

Any further information about your dog’s health?

Feeding Instructions

What brand of food is your dog on?

What kind of food does your dog eat?

Example: Kibble - Wet - Raw - Homemade - Other (Please explain)

Does your dog’s food need refrigeration or freezing? / Details

How many times per day would you like your dog to be fed?

How much food in the morning?

How much food for lunch?

How much food for the evening?

Does your dog have any dietary concerns? Please provide detail.

Does your dog require any supplements? Please provide detail.

Owner's Information

Full Name

E-mail Address

Home Phone

Cell Phone

Work Phone

Street Address

City / County


Postal Code

Alternate Emergency Contact

Full Name

E-mail Address

Home Phone

Cell Phone

Work Phone