Gemini form test * Required Fields Please provide the following detailed information to help us prepare for your pet sitting service. Your cooperation ensures a smooth and personalized experience.Client InformationYou are adding details to the following client record:Name:[CLIENT_NAME_PLACEHOLDER]Cell Number:[CLIENT_CELL_PLACEHOLDER]Email:[CLIENT_EMAIL_PLACEHOLDER] If this is not you, please contact us by replying to our last email.Additional Contact DetailsAlternate Contact/Travel CompanionPlease supply alternate contact details where you can be reached when you may not have use of your phone: Contact/Travel Companion Name Relationship Cell Number Email Emergency Contact Same as Alternate Contact/Travel Companion Emergency Contact Name Relationship Cell Number Email Emergency Contact Town/Suburb of Work or Residence Emergency Services & Suppliers Preferred Suppliers (Check all that apply and specify details) Locksmith Plumber Electrician Remote Entry Access In emergencies where your preferred suppliers are unavailable or not specified, we may need to use our own or the soonest available services.Consent to use our own/soonest available suppliers? YesNoPet DetailsPet #1 Details Pet's Name Species Breed Age Health Concerns Diet Requirements Medical Requirements Other Requirements Add Another Pet Remove Last PetVeterinary Contact Details Veterinary Clinic Veterinary Clinic Phone Veterinary Clinic Address Name of Doctor Reference/Medical Number Do you have an account at the vet?YesNo Have they been informed that you use a pet sitter?YesNoHome Instructions Pool Instructions Garden Instructions Domestic Worker Details Refuse & Recycling DetailsSecurity Details Is your Home Insurance up to date?YesNo Check if Security Company Details are not applicableSecurity Company Details Security Company Contact Person / Control Room Contact Number Security Password Has the control room been informed of Stellenbosch Pet Sitters' entry and exit movements?YesNo Check if Alarm Details are not applicableAlarm Details Is an Arm / Disarm code applicable?YesNo Arm / Disarm Code Alarm Disarm Grace Period (minutes:seconds) Arming / Bypass InstructionsSecurity Cameras Do you have security cameras indoors?YesNo How many Indoor Cameras? Indoor Camera LocationsNote: All indoor cameras must be pointed out during the "Meet & Greet". Do you have security cameras outdoors?YesNo How many Outdoor Cameras? Outdoor Camera LocationsAccess MethodsKeys Will Keys be used for Access?YesNoIndividual Key Set Details Add Another Key Set Remove Last Key SetRemotes Will Remotes be used for Access?YesNoIndividual Remote Details Add Another Remote Remove Last RemoteKeys/Remotes Returned After Service How should keys/remotes be returned after service?Sitter returnsPickupHide & Go Your privacy matters to us. We will never share or sell your personal information or use it for unsolicited promotional emails. We only require your details to provide you with a precise and personalized quote. Please enable JavaScript for this form to work.
