Service Request
If you live in an apartment or need to skip any questions related to your home, just type no in the box provided. Thank you.
How did you hear about us?
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How did you hear about us?
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Business card
Care.com
Client referral
Facebook
Friend
Hotel
Local directory
Met in person
Nextdoor Community website
Pet specific website
Search engine
Sign on car
Sitter referral
Sittercity.com
Thumbtack
Other
Full Name
*
First Name
Last Name
Email
*
Phone Number
*
-
Area Code
Phone Number
Cell Phone if different from other numbers listed.
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Area Code
Phone Number
Vacation Phone if different from other numbers listed.
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Area Code
Phone Number
Address
*
Street Address
Street Address Line 2
City
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State
Zip Code
When is your birthday? We'd like to celebrate with you.
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2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
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1952
1951
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1949
1948
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1944
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1942
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1940
1939
1938
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Website address
First contact with sitter
Please Select
Phone
Email
Website
Chat
When is your birthday? We'd like to celebrate with you.
Co-caregiver info
Emergency contact info (if not local, please include a local contact as well).
Type of Service
*
Pet visits
Hotel sit
Housesitting
Extended daytime sit
Pet Nanny/Handler
On-Call
Spa services
Other
Hold down the CTRL key to select multiple services
Please add the dates and times for service below (if known) as well as the type of service if it's not listed. Thank you.
Do you prefer to receive updates and photos by text or email?
*
What type of pets do you have, and how many??
*
How often do you usually travel?
*
When you have to leave your pets at home, how long do you leave them and where? [Free in the home, crated, in a bedroom, in an X pen]?
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Free in the home, crated, in a bedroom, in an X pen?
Do you or your pet have any allergies or sensitivities that I need to be aware of? If so, please describe?
Veterinarian
Veterinarian's Name
Facility Name
*
Phone Number
*
-
Area Code
Phone Number
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please answer the following questions when care in your home is requested or is a possibility.
Questions asked are meant to prevent issues during an emergency and keep your pets and home safe. If not applicable, type no or n/a. Thank you.
Do you have an alarm system?
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Yes
No
If yes, I will get the details in person along with your WIFI login if available. Please notify the alarm company about me.
Location of nearest phone (if you have a home phone).
*
Do you have working smoke and carbon monoxide detectors?
*
Location of main water shut-off.
*
Location of electrical/fuse box.
*
Names and contact information for a plumber, electrician, handyman, neighbor, relative, or anyone that you contact for emergency home services.
*
Do you have a fenced yard?
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Description of vehicles parked or allowed on your property.
*
Where do you keep cleaning supplies? Please include the vacuum. Thank you!
*
Would you like plants watered? Trash/recycling day? Any special instructions? Please include where trash/recycling carts, supplies for requested chores are kept. Thank you.
*
Anything else?
Permission for care
I acknowledge my responsibility for the necessary medical care for my pet in the case of an emergency as well as giving my permission to administer medication as noted on my pets' profile. I have notified my pet sitter of any health and/or behavioral issues, have or will notify my Veterinarian that my pet will be in the care of a sitter, and have or will make financial arrangements for medical care prior to service. This release and statement of responsibility applies for each pet in my family, and is valid for all services provided.
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