Request a Quote

Request a Quote

Register as a client once using this form. For direct bookings, use the CCC Pet Care App. Enter your primary email for app updates.
📆 Todays Date

MonthDayYear
Todays Date
📧 Email*
Primary Email Address
First Name*
First Name
Last Name*
Last Name
🏡 Address*

Street Address

Street Address Line 2

CityProvince

Postal Code
🏙 Which District/Neighbourhood are you located in?*
District
📱 Cell Phone*

Area CodeCell Phone
📠 Home Phone

Area CodeHome Phone
👩🏻‍💻 Work Phone

Area CodeWork Phone
🌟What services are you interested in? Please choose one.🌟*

Pet SittingHouse Only no pets (Home Security Checks)Overnight Pet SittingDog WalkingDog Let Out (potty break and fresh air)Puppy Play Time (3 visits/day)Nursing Pet Care (Insulin. PostOp Care, SubQ Fluids)Disease Management (Renal Failure, Diabetes)Pet + Home Enrichment AssessmentConcierge (cut lawn, snow removal, etc)Senior Pet Client EducationOther
🌟 What species of pets do you own?🌟 Choose one or more.*

CatDogBearded DragonBirdChinchillaDeguFerretGerbilGuinea PigHamsterHedge HogHermit CrabIguanaMiceRabbitSnakeSugar GliderTurtles & TortiousOther
🐶😺🐭🐹🐰🐸🐠🦜 How many animals do you have? For each pet, please provide their names, species, color, sex, age, and indicate if they require any medical care (such as insulin, SubQ fluids, etc)*
Provide as many details as you can.
🌞 Please specify the day you would like our services to START.*

MonthDayYear
Date of Departure - Start Date
☀☀ Please tell us the day you would like our services to END.*

MonthDayYear
Date of Return - End Date
🌸 How many visits are needed on the date of departure?*
Visits to start
💐 How many visits are needed on the days in between?*
Visits in between
🍁 How many visits on the date of return?*
Visits End
👩‍🌾 Will you be sharing home or pet care responsibilities with anyone else not affiliated with our company during your absence? If yes, please provide details of the job-sharing arrangement. Learn more... https://corkscrittercare.com/policy-and-terms-of-use/*
Pet Care 3rd Party
👂🏻 How did you hear about Corks Critter Care? (If from a friend or acquaintance, please provide details).
Name and Email of Referral
💰 Earn unlimited $$ credits! Go to our website ⇾ Rewards/Referral Program
📝 Do you have any additional comments or special requirements?
Additional Comments
🎫 Please provide your Gift Certificate Code or Coupon Code for the discount.
Gift Certificate Code/Coupon Code
Thank you for contacting Corks Critter Care. Once you submit, your request is received, and we will contact you during business hours within 24 hours. If you have a preferred time and day to phone you please to let us know by using this link -> CorkWillCallYou.
Please visit Corks Critter Care Policy and Terms of Use to familarize yourself with our policies.
✔I agree to Corks Critter Care's terms & conditions, available on our website: https://corkscrittercare.com/policy-and-terms-of-use/*

Yes, I agreeNo, I don't agree
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