Date/Time Services Needed:

I would like services covering the following period:

FROM:	January February March April May June July August September October November December	1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31	2007 2008 2009 2010 2011
UNTIL:	January February March April May June July August September October November December	1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31	2007 2008 2009 2010 2011

On the first day please begin services at:

7:00 a.m. 7:30 a.m. 8:00 a.m. 8:30 a.m. 9:00 a.m. 9:30 a.m. 10:00 a.m. 10:30 a.m. 11:00 a.m. 11:30 a.m. 12:00 p.m. 12:30 p.m. 1:00 p.m. 1:30 p.m. 2:00 p.m. 2:30 p.m. 3:00 p.m. 3:30 p.m. 4:00 p.m. 4:30 p.m. 5:00 p.m. 5:30 p.m. 6:00 p.m. 6:30 p.m. 7:00 p.m. 7:30 p.m. 8:00 p.m. 8:30 p.m. 9:00 p.m.

Total Holidays (If applicable):

Please note, each Holiday will incur a $15 Surcharge.

Please select which Holidays:

	New Year's Eve (December 31st)
	New Year's Day (January 1st)
	Martin Luther King, Jr. Day (3rd Monday in January)
	President's Day (3rd Monday in February)
	Easter Sunday (March 23rd)
	Memorial Day (Observed last Monday in May)
	Independence Day (4th of July)
	Labor Day (1st Monday in September)
	Thanksgiving Day (4th Thursday in November)
	Christmas Eve (December 24th)
	Christmas Day(December 25th)

Services Desired:

Please select the type of Service(s) you will need:

	House Sitting (no pets)
	Overnight Pet Sitting (8pm - 8am)
	Extended Day Care (9am - 4pm)
	Midday Visit(s)
	Morning (9am - 11:30am)
	Afternoon (noon - 2:30pm)
	Evening (3pm - 6pm)
	Midday Dog Walk(s)
	Morning (9am - 11:30am)
	Afternoon (noon - 2:30pm)
	Evening (3pm - 6pm)
	Weekly Packages
	Teacup Package (4 ONs)
	Kuddly Kitten Package (6 ONs)
	Puppy Paw Package (7 ONs)
	Whisker Package (6 ONs, 5 OSHVs)
	Fido Package (7 ONs, 6 OSHVs)
	Emergency Same Day Visit
	Pet Supply Pick-up / Miscellaneous Errands
	Pet Taxi
	Pets require medications/special treatments
	Pets have special needs (very young, senior, disease or injury)
	Yard Poop Clean-up
	One Time Yard Poop Clean-up
	Weekly Service (must schedule at least 2 weeks)
	Weekly Service Monthly Package
	Bi-Weekly Service (must schedule at least 2 weeks)
	Bi-Weekly Service Monthly Package
	Holding Keys on File
	Key Pick-up / Return
	Mailing Key
	I intend to set up a Petty Cash Account. Receipts will be provided for all cost incurred and all cost will be applied to the invoice if a Petty Cash Account is NOT set up.
	Other request(s)
Please include any other special information regarding your request:

Contact Numbers:

How can we reach you while you're out of town?

Location(s) (i.e. hotel, etc.)	Phone
Cannot be reached

Returning Home:

Date Arriving Home		Time Arriving Home		Airline (if applicable)		Flight #

Are You Driving?

Yes  No

Anything New?

• New Pets
  • Leaving Non-Contracted Animals
• Pet Care Changes
• Medication Instructions
• Special Requests

Please be advised: Submitting this form does not confirm your services. Your pet sitting reservation is confirmed when we call or email you to confirm your dates.

Final confirmations and acceptance of services are on a “first-come-first served” basis.

Do you need to update any of the following?