Annual Member Pet Sitter Request Form

Location Services Needed for:

Washington DC

Maryland

Virginia

*First Name:

*Last Name:

*Cell Phone Number:

*Email:

Sitter Preferences:

Pet(s): (Please seperate each pet with a coma)

Service Request Details:

Please fill in one line per service. Example (2) 15 minute visits and (1) 30 minute visit in one day woudl all be on separate lines with the times that you would like the sitter to arrive. Please refer to the list under "tasks" for types of service offered. Please include all dates of service and types of service starting with first date/time that you would like the sitter to arrive and ending with the last date/time the sitter will care for your Pet.

*Date:( DD/MM/YY)

*Service Type:

*Start Time: (AM or PM)

*End Time: (AM or PM)

Date: ( DD/MM/YY)

Service Type:

Start Time:(AM or PM)

End Time: (AM or PM)

Date: ( DD/MM/YY)

Service Type:

Start Time: (AM or PM)

End Time: (AM or PM)

Date: ( DD/MM/YY)

Service Type:

Start Time: (AM or PM)

EndTime: (AM or PM)

Date: ( DD/MM/YY)

Service Type:

Start Time: (AM or PM)

End Time: (AM or PM)

Job directions or Special Instructions: