Family Care Options

Please fill out the form below

to request the Family Bliss Bundle package service

Please complete the following form to request service the Family Bliss Bundle Package. Press the arrow below to get started.

CUSTOMER INFORMATION

First Name

Last Name

Phone *

Email *

Service Address Information

What is the address where service is required.

Child Care Information

Number of Children *

Child's Name/ Age/ Gender *

What is the relation to the child/ren requiring care? *

Do you wish to have your child/ren taken outside? *

Yes

If so, specify where child to be taken out.

How long child to be taken out

Please specify any allergies or health concerns or existing known health conditions

Please specify if there are any special needs/ requirements or requests? *

Does the customer give permission to the Caregiver to take photographs and/or videos for the limited purpose(s) communicated between the Customer and Caregiver?

How can we meet your expectations?

Pet Care Information

Number of Pets

Pet names / weight / breed

Pet Personality

Is the pet on any medication:If yes, please specify

Is the Dog Walker/Sitter required to take the dog out for a walk: If so, please specify where to walk the dog:

How many walks are preferred

How long of a walk

Does the pet have any sensitivities? Please specify

Are Rabies & Vaccinations up to date?

Please Provide Proof of Rabies Vaccination

Does the Customer give permission to the Caregiver to take photographs and/or videos for the limited purpose(s) communicated between the Guest and Caregiver. Please indicate your choice prior to leaving the Pet with caregiver:

Yes

CARE SCHEDULE

Date service requested 1 *

Start time 1 *

End time 1 *

Billing Information

Billing Authorization *

Billing Authorization

I hereby authorize Family Care Options by filling out and signing this credit card authorization form to charge the credit card provided for any and all services rendered and/or ordered by Family Care Options, Inc. The credit card provided will be charged in such a manner as if I were paying in person and signing a transaction slip. I understand there will be a 4% service fee for all phone and internet credit card orders.

Transportation Policy: Client is responsible for return car transportation after 10pm

Cancellation Policy:

If cancellation is not received by the agency within 24 hours of the start time of reservation the client will be charged for the entire confirmed reservation.

Method of Payment:

All major credit cards accepted and due upon confirming the care.

Name of Card Holder *

Billing Address

Billing City

Billing State

Billing Zip *

Credit Card Type *

Credit Card Number *

CVV *

Expiration Date *

Authorized Signature of Card Holder *

Clear

Our Promise To You

Personalize Service Your Way

Unlock a world of personalized care possibilities. At Family Care Options, we unveil a vibrant tapestry of professional caregivers, woven to precisely fit your family's unique needs and aspirations. Experience seamless support, crafted with compassion and expertise, to create a harmonious care journey for your loved one.

100% Happiness Guarantee

Happiness Delivered: We strive to exceed your expectations with every interaction. But if there's ever room for improvement, our 100% Happiness Guarantee ensures we'll keep working until you're completely satisfied.

Trusted Quality Service

Elevating the Standard of Care: Every member of our care specialist team is trained to the highest standards, ensuring you receive personalized service worthy of your trust.

Contact Us

1(212) 748-8377

[email protected]

New York, N.Y. 10019

Office Hours

Monday-Saturday 8:00am-8:00pm

Service Hours

24 hours/seven days a week

Office Closed

Christmas Day
Christmas Eve
New Year's Day
New Years Eve
Thanksgiving Day
4th of July
Memorial Day
Labor Day

Family Bliss

Please fill out the form below

to request the Family Bliss Bundle package service

Our Promise To You

Personalize Service Your Way

Contact Us

[email protected]

New York, N.Y. 10019

Office Hours

Monday-Saturday 8:00am-8:00pm

Service Hours

24 hours/seven days a week

Office Closed

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