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Client Contact Information
First Name:
Last Name:
Address:
City:
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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:
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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:
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Thank you for confirming your scheduled visits.
Confirm Reservation
Sitter's Name
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Client's First Name:
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Client's Last Name:
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Client's Primary Phone:
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Reservation Dates/Times:
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Comments:
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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:
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We greatly appreciate you taking the time to give us a testimonial. Each client who gives us feedback adds to the professional look and quality of our website.
First Name:
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Last Name:
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My Sitter Was:
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The dates she or he visited my pets were:
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Testimonial:
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Critter Sitter Connection, LLC
P.O. Box 45371
Kansas City, MO 64171
Phone: (816) 454-8862
Email:
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