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					                 NEWARK PET CLINIC, INC.
                 BOARDING AGREEMENT
1.) We require proof of all vaccinations, both present and past. The animals must have a prior
vaccination history and they must be current within the last year of the time of boarding.
                         DOGS: Da2pp, BORDETELLA, RABIES
                         CATS: FELV-E4, BORDETELLA, RABIES
2.) We require that all pets are dewormed and flea free.
3.) We DO NOT board for more than 2 weeks at a time unless prepayment is made for the
extended time unless otherwise authorized by an employee. NOTE: Full payment is
required for all new boarders.
4.) We may refuse to board any pet that:
                         i. is not ambulatory, i.e. capable of being self-sufficient.
                         ii. is aggressive toward people, other animals, or property.
                        iii. is capable of escaping from more than average security measures.
5.) Pets that become highly emotional spill their water, food, chew at the fences, or urinate and
defecate excessively thereby soiling themselves. You must be aware of this possibility.
6.) In the event of my pet needing urgent medical attention, I give permission to Dr. Hodgkins and
her staff to perform any treatment she deems necessary and I agree to pay for any treatment given.
7.) We discourage leaving beds, towels, or cloth-like toys as they become soiled easily and loose their
purpose.
8.) We encourage you to leave the name and phone number of a local person to contact in the event
of an emergency.
9.) Pick up and drop off times: Must be arranged with staff prior to pick up and drop off.
10.) NPC reserves the right to change the above requirements in the future without prior
notification.
11.) California abandoned animal act
        Section 1. Abandoned animals; dispositions; notice:
        Section 1834.5 of the Civil Code, relating to abandoned animals:

         Notwithstanding any other provision of law, whenever any animal is delivered to any
         veterinarian, dog kennel, cat kennel, pet-grooming parlor, animal hospital, or any
         other animal care facility pursuant to any written or oral agreement entered into after
         the effective date of this section, and the owner of such animal does not pick up the
         animal within 14 calendar days after the day the animal was due to be picked up, the
         animal shall be deemed to be abandoned. The person into whose custody the animal
         was placed for care shall first try for a period of no less than 10 days to find a new
         owner for the animal, and, if unable to place the animal with a new owner, shall
         therefore humanely destroy the animal so abandoned.
         If an animal so abandoned was left with a veterinarian or with a facility which has a
         veterinarian, and a new owner cannot be found pursuant to this section, such
         veterinarian shall humanely destroy the animal.

         There shall be a notice posted in a conspicuous place, or in a conspicuous type in a
         written receipt given, to warn such person depositing an animal at such animal care
         facilities of the provisions of this section.

         1834.6 Use of abandoned animals for scientific or other experimentation prohibited:

         An abandoned animal, as described in Section 1834.5, shall not be used for scientific
         or any other type of experimentation, nor shall such an abandoned animal be turned
         over to a pound or animal regulation department of a public agency.


Drop Off Date:                                 Pick-up Date:

Total number of nights:               Prepaid: Yes              No

Owner/Agent:

Address:

City:                                 State:

Emergency Contact:                                              Phone Number:

Pet Name:                             Breed:                             Age:              Sex:

Vaccinations: Please fill in dates.

         Dog) Da2pp                            Bordetella                         Rabies

         Cat) FELV-E4                          Bordetella                         Rabies

         Please show proof of vaccinations to staff

I have read and agree to the terms and conditions set forth in the boarding contract. Furthermore, I
accept full responsibility for the fees generated and realize that they are due and payable at the time
services are performed or upon discharge. Any exceptions to this policy must be made prior to the performance
of any service. I understand that a service fee of $30.00 will be assessed for each non-sufficient fund
check. All accounts unpaid after 30 days will receive a finance charge computed at a periodic rate of
1.50% per month, which is an annual percentage rate of 18.00% with a minimum monthly charge of
$1.00.



         Owner/Agent Signature                                                             Date


Special Instructions:

Medications:

Items Staying with pet: