Companion Animal Clinic

10998 Clara Barton Drive, Fairfax Station, VA 22039

703 - 250 - 4100

Fax: 703 - 250 - 4145

Boarding Agreement

Owner_______________________________________________Pet_______________Breed__________

Color____________Sex_____Spayed or neutered?______Has your pet ever bitten anyone?_________

Emergency Telephone Number and Name of responsible party:

___________________________________________________________________________________

Current veterinarian if not Companion Animal Clinic__________________________________________

This is a Contract between Companion Animal Clinic and the pet owner whose signature appears below (hereinafter called “Owner”).

1.  Owner agrees to pay the rate for boarding in effect on the date pet is checked into the kennel.

2.  Owner further agrees to pay all the costs and charges for special services requested and all veterinary costs for the pet during the time the said pet is in the care of the kennel.

3.  Owner further agrees that the pet shall not leave the kennel until all charges are paid to the kennel.

4.  By signing this Contract and leaving said pet(s) with Kennel, Owner certifies to the accuracy of all information given about pet(s).

5.  Kennel shall exercise reasonable care for the pet delivered by the owner to kennel for boarding. It is expressly agreed by Owner and Kennel that Kennels liability shall in no event exceed the lesser of the current chattel value of a pet of the same species or the sum of $200 per animal boarded. The Owner agrees to be solely responsible for any and all acts or behavior of said pet while it is in the care of the kennel.

6.  Owner specifically represents that he or she is the sole owner of the pet, free and clear of all liens and encumbrances.

7.  Owner specifically represents to Kennel that the pet has not been exposed to rabies, distemper, or parvo within a 30 day period prior to boarding.

8.  All charges incurred by Owner shall be payable upon pick-up of pet, or when billed by Kennel at address listed on contract. The Kennel shall have and is hereby granted a lien on the pet for any and all unpaid charges resulting from boarding pet at the kennel. The owner hereby agrees that in the event the boarding charges are not paid when due in accordance with this contract, the Kennel may exercise its lien rights (upon 10 days written notice given by the Kennel) to private or public sale, in the sole discretion of the Kennel, and Owner specifically waives all statutory or legal rights to the contrary.

9.  If pet becomes ill or if the state of the animal’s health otherwise requires professional attention, the Kennel in its sole discretion may engage the services of a veterinarian or administer medicine or give other requisite attention to the animal, and the expenses thereof shall be paid by the Owner.

10. This contract contains the entire agreement between the parties. All terms and conditions of the contract shall be binding on the heirs, administrators, personal representatives and assigns of the owner and Kennel.

11. Any controversy or claim arising out of or relating to this contract or the breach thereof, or as the result of any claim or controversy involving the alleged negligence by any party to this contract shall be settled in accordance with the rules of the American Arbitration Association, and the judgment upon the award rendered by an arbitrator may be entered in any Court having jurisdiction thereof. The arbitrator shall, as part of his award, determine an award to the prevailing party of the costs of such arbitration and reasonable attorney’s fees of the prevailing party.

Signature_____________________________________Date________________Kennel Rep___________

Updated 1/30/08