Virtual Form

Virtual Care

Please fill out the request form with as much detail as possible so that we can assist in arranging your services.

Online inquiries are monitored during normal business hours only (Monday- Friday 9am- 5pm, Eastern Time). After hours, weekend, holiday, last minute and urgent requests are fielded by phone at (888)407-7822.

After normal business hours or for a last minute request call us directly for immediate assistance.

I understand*

I understand

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Client Information

First Name*

Last Name*

Phone Number*

Email Address*

Home Address*

City*

State*

Zip*

Reservation Information

How did you hear about us?*

Reservation Date*

Start Time*

AM/PM*

AM
PM

Time Zone*

Duration*

Language Preference

Child's Details

Child's Name*

Date Of Birth*

Grade*

Gender*

Add second child

Add Second Child

Child's Name*

Date Of Birth*

Grade*

Gender*

Add third child*

Add Third Child

Child's Name*

Date Of Birth*

Grade*

Gender*

Area Of Interest*

Please Specify*

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Name of Hotel*

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Reservation Location*

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Hotel Address*

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City*

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State*

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Zip*

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Hotel Manager Name*

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Manager Email*

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Manager Phone*

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Guest First Name*

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Guest Last Name*

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Guest Phone*

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Guest Email*

Please check yes or no on the following items to let us know if your reservation information has changed since your last reservation. If the following items have not changed please check the box for NO CHANGES. If any of your information has changed since your last reservation, please check UPDATES NEEDED and fill out the required information.

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Address

No changes
Updates needed

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If reservation name is different than client name
If reservation is at a different location

Full Name For Reservation

Phone Number For Reservation

Location Name (if Applicable)

Full Address (Where Resevation is Requested)

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Are the children siblings?*

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Is your child sick?*

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Please select pet information*

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Late night needed?*

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End time*

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AM/PM*

AM
PM

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Reservation information

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I would like to make a 2nd Reservation

I would like to make a Second Reservation

Reservation date

Late night needed?

Start time*

AM/PM*

AM
PM

End time*

AM/PM*

AM
PM

Reservation information

I would like to make a 3rd Reservation

I would like to make a Third Reservation

Reservation date

Late night needed?

Start time*

AM/PM*

AM
PM

End time*

AM/PM*

AM
PM

Reservation information

I would like to make a 4th Reservation

I would like to make a Fourth Reservation

Reservation date

Late night needed?

Start time*

AM/PM*

AM
PM

End time*

AM/PM*

AM
PM

Reservation information

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I would like to make a 5th Reservation

I would like to make a Fifth Reservation

Reservation date

Late night needed?

Start time*

AM/PM*

AM
PM

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End time*

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AM/PM*

AM
PM

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Reservation information

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Number of children

No changes
Updates needed

Child's Name*

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Date of Birth

Please select gender*

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Special needs

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Allergies

Special Needs*

No changes
Updates needed

What?*

Allergies*

No changes
Updates needed

What?*

Add Second Child Existing Client

Add Second Child

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Date of Birth

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Please Select Gender

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Special needs

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Allergies

Special needs*

No changes
Updates needed

What?*

Allergies*

No changes
Updates needed

What?*

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Add Third Child

Add Third Child

Add Third Child Existing Client

Add Third Child

Child's Name

Date of Birth

Please Select Gender

Special needs

Allergies

Special needs*

No changes
Updates needed

What?*

Allergies*

No changes
Updates needed

What?*

Add Fourth Child

Add Fourth Child

Add Fourth Child Existing Client

Add Fourth Child

Child's Name

Date of Birth

Please Select Gender

Special needs

Allergies

Special needs*

No changes
Updates needed

What?*

Allergies*

No changes
Updates needed

What?*

Add Fifth Child

Add Fifth Child

Add Fifth Child Existing Client

Add Fifth Child

Child's Name

Date of Birth

Please Select Gender

Special needs

Allergies

Special needs*

No changes
Updates needed

What?*

Allergies*

No changes
Updates needed

What?*

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Pet information

No changes
Updates needed

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Please select Pet information*

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Sitter Preferences

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Gender preference*

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Do you need a sitter who swims?*

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Please tell us about your ideal sitter

Additional comments

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