Use this form to make a reservation or  to get more information. If you are a new customer, we will contact you for an in-home interview to
meet your pets and learn about your needs. Your reservation will be confirmed by email or phone. We can be reached at (812) 320-3375 or
admin@bloomingtonpetpals.com
Some MAC users experience problems with some browsers and get error messages with this form. If that
happens, please just send an email with your request for pet sitting.
Reservation Request
Name
Address
Pet Names &
Breeds
Service Dates
How Many 30-min
visits per day?
How many hour
visits per day?
Phone
Email address
Please Review our Rates, Holiday Rates and Service Terms and type Yes in the box at left. When
submitting this form, you attest that you have reviewed the terms and this serves as your contract.
New Customers Please Continue
Vet Name
Is Pet on Flea
Prevention
Are vaccinations Current
Emergency Contact
Does Pet have any
medical issues
Pet's major
likes & dislikes
How Did you
hear about us
Best day of week for
initial meeting

Morning, afternoon or
evening
Please Review our Rates and Service Terms and type Yes in the box at left. When submitting this
form, you attest that you have reviewed and agree with the terms and this serves as your contract.
Questions, Comments or
Additional Information
Bloomington Pet Pals We Play While You're Away