New Client Intake Form

New Client Intake Form - Boarding
Thank you for your interest in boarding your dog in our home.

Filling out this form will help me better understand your pup, their needs, and help me provide the best possible care.

Please make sure to read through the entire form, and complete all necessary questions/information. Don't hesitate to reach out if you have any questions.
Owner's Details
Owner's Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Additional Owner's Information (optional)
Other Contacts
Veterinary Name:*
Veterinary Phone:*
Please enter a valid phone number.Format: (000) 000-0000.
Veterinary Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Emergency Contact (local/not traveling with you):*

First NameLast Name
Emergency Contact Number:*
Please enter a valid phone number.Format: (000) 000-0000.
Relationship of emergency contact to yourself?*
Additional Emergency Contacts (optional)
About your Dog
Dog's Name*
Unfixed FemaleSpayed FemaleUnfixed MaleNeutered Male
Breed*
Date of Birth (or approximate age)*

MonthDayYear
Date
Weight (in pounds)*
Add Additional Dogs Here:
Please upload a recent photo of your pup(s).*

Cancelof
YesNo
Bordatella (mandatory*)Distemper - Da2PP, DHPP, DHLPP (mandatory*)Rabies (mandatory*)
Please upload your pet vaccination record here. If you do not have copies, please have your vet provide them, and email to me prior to the stay at elisahs.petsitting@gmail.com.

Cancelof
Please list the brand of your pet's flea/tick/heartworm preventative(s) and the last date given. *
Behavior
Tell me about your dog - personality, energy level, preferences, etc.:*
Is your dog friendly towards other dogs? Please explain.*
Is your dog friendly towards people/children? Please explain.*
YesNoOther - please explain:
Separation anxietyResource guardingMarks territory inside the homeDestruction of the homeChewing or eating non-food items (furniture, clothes, toys)Doordashing or trying to escapeCounter surfingLeash reactiveLeash pullingMounting / HumpingDiggingExcessive barkingAfraid of loud noises (thunderstorms, fireworks, vacuum, etc.)None of the aboveOther - please explain:
If you checked any of the above, please explain their behavior and how it is corrected/managed.*
SitStayComeDownLeave itNone of the aboveOther - please list:
Are there any commands your dog knows that you'd like me to use?
How does your dog do in the car? Other than in case of emergency, are they allowed to go on a car ride? (I will sometimes take guests to the Settler's Cabin Dog Park across the street, or to accompany me on an adventure such as a Starbuck's run). Dogs are always buckled in with puppy seat belts!*
Routine
How many hours can they be left alone?*
Where do you leave your dog when you leave the house (crate, in a gated area, specific room, free roam of the house, etc.)*
Where does your dog like to sleep?*
Please provide details of their outside/potty routine (how often, what times, etc.)*
Nutrition
Please list feeding instructions. What do you feed your dog, how much, and how often? (Example: 1 cup of kibble mixed with a spoonful of wet food twice a day)*
Do I have your permission to give your dog treats?*
Health & Safety
Does your pet require medication? If yes, please indicate the name of the medication, the type (liquid, pill, powder), amounts, when and how it is given (directly, in a pill pocket, put in food)*
Any known allergies or sensitivities?*
Any medical conditions or injuries I should be aware of?*
Additional Information
What makes your dog happy? Their favorite activities, toys, or treats? My goal is to be their home away from home.*
Is there anything not mentioned that you'd like me to know?
NoYesYes, please tag me (list your profile):
How did you hear about me? (so I can say thanks ♥)*
I do share some photos on my social media page - Please share your Instagram account ONLY if you'd like to be tagged:
Follow me on Instagram @elisahs.petsitting
Boarding Dates
DROP OFF: Preferred Date/Time*

MonthDayYear

AM/PM Option
PICK UP: Preferred Date/Time*

MonthDayYear

AM/PM Option
Meet & Greet
Please list some days/times you would be available for a meet & greet:*
By my signature below, I hereby certify that the information I provided is true and correct to the best of my knowledge.
Yes
I hereby certify that the information I provided is true and correct to the best of my knowledge.
Signature*
Please type your name.
Should be Empty:

New Client Intake Form - Boarding

Owner's Details

Other Contacts

About your Dog

Behavior

Routine

Nutrition

Health & Safety

Additional Information

Boarding Dates

Meet & Greet

By my signature below, I hereby certify that the information I provided is true and correct to the best of my knowledge.