Dear Family,

Please complete the following family application.  Our Staff will get back with you within one business day. 

First Name: * Required

Last Name: * Required

E-mail:  * Required

Address: 

City:    State: Zip: 

Major Cross Streets:

Are you in a gated community?
If yes, what is the gate code?
Gate Code:

Day Phone:     Cell: 

Fax:

Spouse Full Name:

Spouse Occupation:

Your Occupation:

How many pets do you have? Please list each individually.

Are there any additional pets in the home?
If yes, when and how many?

Do any of your pets require special care, medication or therapy of any kind?
If yes, please specify:

Does your pet have any special dietary needs? Your browser may not support display of this image.
If yes, specify:

Have any of your pets ever bitten anyone?

How did you hear about us?

FAMILY AGREEMENT

I have contacted Nannies & Housekeepers, U.S.A. to help me find household help. Under the provisions of the Pet Sitting Registry program I understand that all reservations must be made through the agency and is based on availability of pet sitters for the time of service. I will pay the annual membership and booking fees in full and sign the contract before the person begins working in my home.

I will not attempt to hire anyone Nannies & Housekeepers, U.S.A. sends me under the Pet Sitting Registry program without processing all of the necessary contracts through their office. I will not refer any of the pet sitters to anyone for potential employment without processing the contract and fee through Nannies & Housekeepers, U.S.A.

I understand the Nannies & Housekeepers, U.S.A. has invested in the interviews and background checks of the candidates and I will allow them to act as the referral agency.

If you agree to the terms listed above type "Yes" in the following space: Your browser may not support display of this image.