Pet Intake Form
Hello and thank you for choosing Bluie's Pet Sitting Services for your fur baby. Below we have some simple question to help us get to know your pup better and help us know exactly what you need for their stay. Please answer all questions honestly as it is essential for the safety of all involved. Thank you! Please reach out with any question you may have 831.214.6618. There is a 50% non-refundable deposit due at the time of booking.
Drop off date
*
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Month
-
Day
Year
Date
Pick up date
*
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Month
-
Day
Year
Date
Which Services Are You Interested In? Please Note Holidays Are An Extra $5 Fee. If You Need Pick Up And/Or Drop Off Services, Please Let Us Know. These Fees Vary Depending On Distance.
*
Daycare
Boarding
Walking
House Visits
Payments Can Be Made via Zelle, Link on the Invoice or Tap to Pay
*
Zelle
Tap to Pay/Card
Link on Invoice
Pet Parent Name
*
First Name
Last Name
Phone Number
*
-
Area Code
Phone Number
Email
*
example@example.com
Pets Name?
*
Species
*
Dog
Cat
Other
Breed ?
*
What is your pets age?
*
Does your pet take any medications? Please list them below along with dosage
*
Is your pet dog friendly?
*
Is your pet child friendly?
*
Is your pet cat friendly?
*
Is your pet food and/or toy aggressive?
*
Is your pet up to date on vaccination and flea preventative?
*
Is your pet potty trained?
*
Is your pet fixed?
*
Does your pet have any diet restrictions?
*
How much do you feed your pet? How often?
*
Does your pet have a prey drive? Do they fixate on other animals and try to chase? Whether it be another dog, cat, squirrel, anything.
*
If you have another dog staying with us, you can add their information below :)
Pet Name
Species
Dog
Cat
Other
Breed
What is your pets age?
Does your pet take any medications? Please list them below along with dosage
Is your pet dog friendly?
Is your pet child friendly?
Is your pet cat friendly?
Is your pet food and/or toy aggressive?
Is your pet up to date on vaccination and flea preventative?
Is your pet potty trained?
Is your pet fixed?
How much do you feed your pet? How often?
Does your pet have any diet restrictions?
Does your pet have a prey drive? Do they fixate on other animals and try to chase? Whether it be another dog, cat, squirrel, anything.
Emergency Contacts
Please Add Min. 1 Emergency Contact
Name
*
First Name
Last Name
Name
First Name
Last Name
Have you read through our contract and do you agree?
*
Yes, We Agree
No, We Will Be Booking Elsewhere
E-Signature
*
Submit
Submit
Time
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2
3
4
5
6
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10
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12
:
Hour
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10
20
30
40
50
Minutes
AM
PM
AM/PM Option
Should be Empty: