MJ's Care Crew - Quick Request Form

Need a reliable caretaker for your kids, pets or home on short notice? Whether it’s a once-off booking, an emergency, or backup care - this form makes it quick and easy to submit your request.

  • All caregivers are screened and verified
  • Fixed hourly rate: R100/hour
  • Fuel reimbursement: R5/km (if transport required)
  • Agency booking fee: From R200 per booking, depending on urgency (included in invoice)
  • Bookings made within 12 hours are considered urgent

You’ll receive a confirmation if a caregiver is available. Invoices are sent by the agency after the booking, based on hours and any transport used.

For urgent cases, complete this form and WhatsApp us directly at 060 521 8506.

Email *
SECTION 1: Your Details
Your Name  *
Contact Number  *
Email Address *
Residential Address *
SECTION 2: Service Details 
Which Service Do You Need?  *
Required
If you require babysitting, please state the name and age of your child(ren) *
Date(s) Needed *
Hours Needed (Start and End Time) *
Location of Service (If different than home address) *
Will There Be Any Special Instructions?  (For example: children’s bedtime routine, pet feeding schedule, medication instructions, house care details.) *
SECTION 3: Emergency Details
Your Emergency Contact Person (Name and Number) *
Where will you be during the time of the placement? (In case of emergency) *
SECTION 4: Urgency and Availability
Is this an emergency/ urgent request? *
When would you like to receive a confirmation by? *
MM
/
DD
/
YYYY
Are you willing to accept a caregiver who has not previously worked with you?   *
SECTION 4: Confirmation
Please confirm:
I understand this is a once-off service request, and a booking fee will be payable upon confirmation. *
Required
I agree to treat candidate details as confidential. *
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