The Critter Sitters
22 Mineral Street
Ipswich, MA 01938
978-257-3461
thecrittersittersma@comcast.net
www.thecrittersittersonline.com

Pet Service Request

Pet's Names:_______________________________Client's Name:__________________________________
__________________________________________  Phone Number : _______________________________
__________________________________________  Address:_______________________________________
Breed(s)___________________________________________________________________________________
Email:_____________________________________________________________________________________                                                                                         
Date service to start: __________________Time:___________________

What days would you like us to come?
□  Monday  
□  Tuesday
□  Wednesday
□  Thursday
□  Friday
□  Saturday
□  Sunday           

What is the best way to reach you ?
□ Cell phone  ________________________
□ Work phone _______________________
□  Email_____________________________

May we do anything else for you while we are at your home?
Feed your dog, cat or other animals? ____________________________________________________
______________________________________________________________________________________
Give your pet medication? _____________________________________________________________
Water plants?   □Yes    □ No
Clean Litter Box?    □Yes   □No
Bring in mail or newspaper?    □Yes  □No

Signature: ______________________________       Click here for Veterinary Release Form


The Critter Sitters 22 Mineral Street, Ipswich, MA 01938
978-257-3461   email: thecrittersittersma@comcast.net