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General Comments
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Give a Testamonial
Client Contact Information
First Name:
Last Name:
Address:
City:
State:
Zip Code:
Email Address:
Home Phone:
Work Phone:
Cell/Alternate Phone:
Pet Information
Pet 1 Name:
Pet 1 Breed:
Pet 1 Age:
Male
Female
Pet 1 Notes:
Pet 2 Name:
Pet 2 Breed:
Pet 2 Age:
Male
Female
Pet 2 Notes:
Pet 3 Name:
Pet 3 Breed:
Pet 3 Age:
Male
Female
Pet 3 Notes:
Pet 4 Name:
Pet 4 Breed:
Pet 4 Age:
Male
Female
Pet 4 Notes:
Veterinarian Information
Clinic Name:
Preferred Doctor's Name:
Clinic Phone:
Reservation Dates
Start Date:
End Date
How many visits per day?
Comments:
Security code:
*
*
indicates a required field
Completely fill in the following information and press "Submit Reservation" when complete.
Client Information
First Name:
Last Name:
Preferred Sitter:
Daytime Phone:
Evening Phone:
Email Address:
Reservation Dates
Start Date:
End Date:
How many visits per day?
Comments:
*
indicates a required field
Thank you for your feedback. If a response is requested, a member of our office staff will contact you during our normal business hours. M-F, 9-5, CST.
First Name:
Last Name:
Daytime Phone:
Email Address:
Comments:
No response needed
Please contact me
*
indicates a required field
Critter Sitter Connection uses a network of independent contractors, who are carefully selected, to care for our customer's pets. If you are interested in pet sitting fill out the form below and a member of our office staff will contact you should we be interested in your services.
Applicant Information
First Name:
Last Name:
Address:
City:
State:
Zip Code:
Contact Information
Daytime Phone:
Evening Phone:
Email Address:
Availability:
Mornings
Evenings
Mid-days
Weekends
Holidays
Date Available:
Referred By:
About You
Are you 21 years or older?
Yes
No
Do you have reliable transportation?
Yes
No
Do you have a valid U.S. driver's license?
Yes
No
Would you submit to a criminal background check?
Yes
No
Do you have any physical limitations?
Yes
No
Do you have an answering machine or voice mail?
Yes
No
Are there any pets you would refuse to care for?
What do you want us to know about you?
Additional Comments:
Security code:
*
*
indicates a required field
We greatly appreciate you taking the time to give us a testamonial to add to the professional look, and quality of our website.
First Name:
*
Last Name:
*
My Sitter Was:
*
The dates she or he visited my pets were:
*
May we use your name when adding your testamonial to our website?
May we use your testamonial on our website and on other marketing materials?
Email Address:
*
Testimonial:
*
Security code:
*
*
indicates a required field
Critter Sitter Connection, LLC
P.O. Box 11062
Kansas City, MO 64119
Phone: (816) 454-8862
Email:
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