Booking Request Form

Please take a moment to fill out our booking request form. This information will help us provide the best possible service and make sure that we are well prepared.

Client Information

Name*

Phone*

Email*

Location*

Preferred Contact Method*

Emergency Contact Information

Emergency Contact Name*

Emergency Contact Phone Number*

Service Details

Type of service requested (Check all that apply)*

Babysitting

Pet Sitting

Pet Walking

Elderly Care

Date and time of service*

Month

Day

Year

Time

:HoursMinutes

Care Details

Names & Ages of Children/ Pets/ Elder (If Applicable)*

Are there any medical conditions, allergies, or special needs that the sitter should be aware of?*

Yes

If yes, please describe

Daily routines or special instructions*

Swimming Experience

Permission to drive (requires car seat, please provide)*

Yes

Household Information

Are there any specific house rules the sitter should be aware of?*

Yes

If yes, please specify

Additional Notes or Preferences

Please explain*

I certify that the information provided above is accurate and understand that Jekyll Island Sitters will use this information to provide the best possible care.