Common use of PLEASE READ AND SIGN Clause in Contracts

PLEASE READ AND SIGN. For the comfort of your pet, bedding can be used for your pet's boarding stay. Please understand that pets sometimes behave differently while boarding than at home. If you have provided bedding or would like the boarding team to use their bedding, you assume all risks. This includes any lost, ripped, or chewed bedding. By signing below you also acknowledge that if your pet were to chew and ingest some or part of bedding causing your pet to become sick, or require a life threatening intestinal surgery to remove the bedding, you assume all risks and financial responsibility as well. Please Indicate Bedding To Be Used: Owner's Provided Bedding: Y N Kennel Bedding: Y N Owner's Signature: Medical Illness Policy One of the advantages of boarding your pet(s) at a veterinary hospital is that veterinary attention is readily available should the need arise. If your pet(s) become ill, we will attempt to contact you or your emergency contact at the number listed above regarding your pet’s symptoms, treatment options, and estimate of additional costs. However, if your pet develops common symptoms of diarrhea or vomiting due to stress or change of diet while boarding we will treat the animal. Most treatments for these symptoms are inexpensive, but if there are other treatments that are necessary we will attempt to contact you first. Please indicate your wishes below should your pet(s) require treatment to relieve immediate discomfort or to resolve an important medical conditions. (CHECK ONE) Please perform whatever service the doctor deems necessary for the best care of my pet until someone can be reached. This includes only non-elective and necessary diagnostics. I authorize up to $ in medical care for my pet until someone can be reached. Do not administer any medical treatment until specific authorization is given. Any medical treatment that is needed for injuries that occur as a result of more than one pet in a run or injuries to themselves due to separation anxiety will be at the expense of the pet's owner. Please be aware that animals kenneled can become scared and can hurt themselves or other pets as a result. For example some pets can become food aggressive with other animals, if you are aware of this please inform our kennel staff, so we do not feed your dogs together. We do our best to prevent this, but if injury occurs the pet owner is responsible for the costs. We will treat injuries as needed regardless of what is checked above. Check Out Procedures: There is no charge for pets picked up before 11AM on the day of departure, this excludes boarding in a suite. Suite prices include playtime and a bath , but there is a charge for the day of departure. There will be a full days boarding charge for any pets picked up anytime after 11AM. On Sundays there will be no early check out available. You may pick up your pet between 3-6PM Sunday evening. Please be aware that you will be charged for Sunday whether your pet is picked up Sunday evening or Monday morning. If your pet is receiving a bath while boarding it will be given on the day of departure, please pick up your pet after 2 pm Mon-Fri, if receiving a bath. You will not be charged a board fee for that day EXCEPT FOR SUNDAYS. HOURS: MON 8AM- 8 PM PRICES: Board fee 1 dog $21/day TUES 8 AM- 8 PM 2nd dog same run $16/day WED 8 AM- 8 PM 2nd dog different run $19/day THURS 8 AM- 8 PM Suite w/ webcam $49/ day per dog FRI 8 AM- 8 PM Suite w/out webcam $35/day per dog SAT 8 AM – 4 PM Cattery 1 cat $14/day SUN 4PM – 8 PM 2nd cat same condo $12/day 2nd cat different condo $13/day *There is a charge if you bring your own food and it is NOT prepackaged- $2/day per animal *Medication fee is $2/ day per animal Financial Arrangements: I certify that I am the legal owner of the pet(s) being boarded. I assume responsibility for all charges incurred in the care of this animal. I also understand that these charges will be paid at the time of release. I understand that payment can be made in the form of cash, check, MC, Visa, or Discover. I fully intend to pick up my pet(s) on the above-specified date. If circumstances change, I will notify Middletown Veterinary Hospital of a new pick up date and will pay in full the charges that were incurred at that time. I understand that if no notification of a delay is given, my pet will be considered abandoned after 3 days and will become property of Middletown Veterinary Hospital. I understand that my pet will be cared for in a conscientious and loving manner and be housed in a sanitary and properly enclosed facility. Therefore, I will not hold Middletown Veterinary Hospital responsible if my pet is lost, stolen, becomes ill or dies in their custody. My signature certifies that I have read, understood, and agree to all the provisions herein concerning my pet being cared for at Middletown Veterinary Hospital. Signature Date signed Do you give permission for Middletown Vet to photograph your pet and possibly use it on our facebook or website?

PLEASE READ AND SIGN. For the comfort of your pet, bedding can be used for your pet's boarding stay. Please understand that pets sometimes behave differently while boarding than at home. If you have provided bedding or would like the boarding team to use their bedding, you assume all risks. This includes any lost, ripped, or chewed bedding. By signing below you also acknowledge that if your pet were to chew and ingest some or part of bedding causing your pet to become sick, or require a life threatening intestinal surgery to remove the bedding, you assume all risks and financial responsibility as well. Please Indicate Bedding To Be Used: Owner's Provided Bedding: Y N Kennel Bedding: Y N Owner's Signature: Medical Illness Policy One of the advantages of boarding your pet(s) at a veterinary hospital is that veterinary attention is readily available should the need arise. If your pet(s) become ill, we will attempt to contact you or your emergency contact at the number listed above regarding your pet’s symptoms, treatment options, and estimate of additional costs. However, if your pet develops common symptoms of diarrhea or vomiting due to stress or change of diet while boarding we will treat the animal. Most treatments for these symptoms are inexpensive, but if there are other treatments that are necessary we will attempt to contact you first. Please indicate your wishes below should your pet(s) require treatment to relieve immediate discomfort or to resolve an important medical conditions. (CHECK ONE) Please perform whatever service the doctor deems necessary for the best care of my pet until someone can be reached. This includes only non-elective and necessary diagnostics. I authorize up to $ in medical care for my pet until someone can be reached. Do not administer any medical treatment until specific authorization is given. Any medical treatment that is needed for injuries that occur as a result of more than one pet in a run or injuries to themselves due to separation anxiety will be at the expense of the pet's owner. Please be aware that animals kenneled can become scared and can hurt themselves or other pets as a result. For example some pets can become food aggressive with other animals, if you are aware of this please inform our kennel staff, so we do not feed your dogs together. We do our best to prevent this, but if injury occurs the pet owner is responsible for the costs. We will treat injuries as needed regardless of what is checked above. Check Out Procedures: There is no charge for pets picked up before 11AM on the day of departure, this excludes boarding in a suite. Suite prices include playtime and a bath , but there is a charge for the day of departure. There will be a full days boarding charge for any pets picked up anytime after 11AM. On Sundays there will be no early check out available. You may pick up your pet between 34-6PM 8PM Sunday evening. Please be aware that you will be charged for Sunday whether your pet is picked up Sunday evening or Monday morning. If your pet is receiving a bath while boarding it will be given on the day of departure, please pick up your pet after 2 pm Mon-Fri, if receiving a bath. You will not be charged a board fee for that day EXCEPT FOR SUNDAYS. HOURS: MON 8AM- 8 PM PRICES: Board fee 1 dog $21/day TUES 8 AM- 8 PM 2nd dog same run $16/day WED 8 AM- 8 PM 2nd dog different run $19/day THURS 8 AM- 8 PM Suite w/ webcam $49/ day per dog FRI 8 AM- 8 PM Suite w/out webcam $35/day per dog SAT 8 AM – 4 PM Cattery 1 cat $14/day SUN 4PM – 8 PM 2nd cat same condo $12/day 2nd cat different condo $13/day *There is a charge if you bring your own food and it is NOT prepackaged- $2/day per animal *Medication fee is $2/ day per animal Financial Arrangements: I certify that I am the legal owner of the pet(s) being boarded. I assume responsibility for all charges incurred in the care of this animal. I also understand that these charges will be paid at the time of release. I understand that payment can be made in the form of cash, check, MC, Visa, or Discover. I fully intend to pick up my pet(s) on the above-specified date. If circumstances change, I will notify Middletown Veterinary Hospital of a new pick up date and will pay in full the charges that were incurred at that time. I understand that if no notification of a delay is given, my pet will be considered abandoned after 3 days and will become property of Middletown Veterinary Hospital. I understand that my pet will be cared for in a conscientious and loving manner and be housed in a sanitary and properly enclosed facility. Therefore, I will not hold Middletown Veterinary Hospital responsible if my pet is lost, stolen, becomes ill or dies in their custody. My signature certifies that I have read, understood, and agree to all the provisions herein concerning my pet being cared for at Middletown Veterinary Hospital. Signature Date signed Do you give permission for Middletown Vet to photograph your pet and possibly use it on our facebook or website?

PLEASE READ AND SIGN. For the comfort of your pet, bedding can be used for your pet's boarding stay. Please understand that pets sometimes behave differently while boarding than at home. If you have provided bedding or would like the boarding team to use their bedding, you assume all risks. This includes any lost, ripped, or chewed bedding. By signing below you also acknowledge that if your pet were to chew and ingest some or part of bedding causing your pet to become sick, or require a life threatening intestinal surgery to remove the bedding, you assume all risks and financial responsibility as well. Please Indicate Bedding To Be UsedUseD: Owner's Provided Bedding: Y N Kennel Bedding: Y N Owner's Signature: Medical Illness Policy One of the advantages of boarding your pet(s) at a veterinary hospital is that veterinary attention is readily available should the need arise. If your pet(s) become ill, we will attempt to contact you or your emergency contact at the number listed above regarding your pet’s symptoms, treatment options, and estimate of additional costs. However, if your pet develops common symptoms of diarrhea or vomiting due to stress or change of diet while boarding we will treat the animal. Most treatments for these symptoms are inexpensive, but if there are other treatments that are necessary we will attempt to contact you first. Please indicate your wishes below should your pet(s) require treatment to relieve immediate discomfort or to resolve an important medical conditions. (CHECK ONE) Please perform whatever service the doctor deems necessary for the best care of my pet until someone can be reached. This includes only non-elective and necessary diagnostics. I authorize up to $ in medical care for my pet until someone can be reached. Do not administer any medical treatment until specific authorization is given. Any medical treatment that is needed for injuries that occur as a result of more than one pet in a run or injuries to themselves due to separation anxiety will be at the expense of the pet's owner. Please be aware that animals kenneled can become scared and can hurt themselves or other pets as a result. For example some pets can become food aggressive with other animals, if you are aware of this please inform our kennel staff, so we do not feed your dogs together. We do our best to prevent this, but if injury occurs the pet owner is responsible for the costs. We will treat injuries as needed regardless of what is checked above. Check Out Procedures: There is no charge for pets picked up before 11AM on the day of departure, this excludes boarding in a suite. Suite prices include playtime and a bath , but there is a charge for the day of departure. There will be a full days boarding charge for any pets picked up anytime after 11AM. On Sundays there will be no early check out available. You may pick up your pet between 34-6PM 8PM Sunday evening. Please be aware that you will be charged for Sunday whether your pet is picked up Sunday evening or Monday morning. If your pet is receiving a bath while boarding it will be given on the day of departure, please pick up your pet after 2 pm Mon-FriSat, if receiving a bath. You will not be charged a board fee for that day EXCEPT FOR SUNDAYS. Suite prices will no longer include a BATH. You will not be charged for the day of pick up if you elect to get a bath for $23. HOURS: MON 8AM- 8 7 PM PRICES: Board fee 1 dog $21/day TUES 8 AM- 8 7 PM 2nd dog same run $16/day WED 8 AM- 8 7 PM 2nd dog different run $19/day THURS 8 AM- 8 7 PM Suite w/ webcam $49/ day per dog FRI 8 AM- 8 7 PM Suite w/out webcam $3539/day per dog SAT 8 AM – 4 PM - 3PM Cattery 1 cat $14/day SUN 4PM – 8 PM 4PM-7PM 2nd cat same condo $12/day 2nd cat different condo $13/day *There is a charge if you bring your own food and it is NOT prepackaged- $2/day per animal *Medication fee is $2/ day per animal Financial Arrangements: I certify that I am the legal owner of the pet(s) being boarded. I assume responsibility for all charges incurred in the care of this animal. I also understand that these charges will be paid at the time of release. I understand that payment can be made in the form of cash, check, MC, Visa, or Discover. I fully intend to pick up my pet(s) on the above-specified date. If circumstances change, I will notify Middletown Veterinary Hospital of a new pick up date and will pay in full the charges that were incurred at that time. I understand that if no notification of a delay is given, my pet will be considered abandoned after 3 days and will become property of Middletown Veterinary Hospital. I understand that my pet will be cared for in a conscientious and loving manner and be housed in a sanitary and properly enclosed facility. Therefore, I will not hold Middletown Veterinary Hospital responsible if my pet is lost, stolen, becomes ill or dies in their custody. My signature certifies that I have read, understood, and agree to all the provisions herein concerning my pet being cared for at Middletown Veterinary Hospital. Signature Date signed Do you give permission for Middletown Vet to photograph your pet and possibly use it on our facebook or website?

PLEASE READ AND SIGN. For the comfort of your pet, bedding can be used for your pet's boarding stay. Please understand that pets sometimes behave differently while boarding than at home. If you have provided bedding or would like the boarding team to use their bedding, you assume all risks. This includes any lost, ripped, or chewed bedding. By signing below you also acknowledge that if your pet were to chew and ingest some or part of bedding causing your pet to become sick, or require a life threatening intestinal surgery to remove the bedding, you assume all risks and financial responsibility as well. Please Indicate Bedding To Be Used: Owner's Provided Bedding: Y N Kennel Bedding: Y N Owner's Signature: Medical Illness Policy One of the advantages of boarding your pet(s) at a veterinary hospital is that veterinary attention is readily available should the need arise. If your pet(s) become ill, we will attempt to contact you or your emergency contact at the number listed above regarding your pet’s symptoms, treatment options, and estimate of additional costs. However, if your pet develops common symptoms of diarrhea or vomiting due to stress or change of diet while boarding we will treat the animal. Most treatments for these symptoms are inexpensive, but if there are other treatments that are necessary we will attempt to contact you first. Please indicate your wishes below should your pet(s) require treatment to relieve immediate discomfort or to resolve an important medical conditions. (CHECK ONE) Please perform whatever service the doctor deems necessary for the best care of my pet until someone can be reached. This includes only non-elective and necessary diagnostics. I authorize up to $ in medical care for my pet until someone can be reached. Do not administer any medical treatment until specific authorization is given. Any medical treatment that is needed for injuries that occur as a result of more than one pet in a run or injuries to themselves due to separation anxiety will be at the expense of the pet's owner. Please be aware that animals kenneled can become scared and can hurt themselves or other pets as a result. For example some pets can become food aggressive with other animals, if you are aware of this please inform our kennel staff, so we do not feed your dogs together. We do our best to prevent this, but if injury occurs the pet owner is responsible for the costs. We will treat injuries as needed regardless of what is checked above. Check Out Procedures: There is no charge for pets picked up before 11AM on the day of departure, this excludes boarding in a suite. Suite prices include playtime and a bath , but there is a charge for the day of departure. There will be a full days boarding charge for any pets picked up anytime after 11AM. On Sundays there will be no early check out available. You may pick up your pet between 3-6PM Sunday evening. Please be aware that you will be charged for Sunday whether your pet is picked up Sunday evening or Monday morning. If your pet is receiving a bath while boarding it will be given on the day of departure, please pick up your pet after 2 pm Mon-Fri, if receiving a bath. You will not be charged a board fee for that day EXCEPT FOR SUNDAYS. Please note weekend pick up hours. HOURS: MON 8AM- 8 PM PRICES: Board fee 1 dog $21/day TUES 8 AM- 8 PM 2nd dog same run $16/day WED 8 AM- 8 PM 2nd dog different run $19/day THURS 8 AM- 8 PM Suite w/ webcam $49/ day per dog FRI 8 AM- 8 PM Suite w/out webcam $35/day per dog SAT 8 AM – 4 PM Cattery 1 cat $14/day SUN 4PM – 8 PM 2nd cat same condo $12/day 2nd cat different condo $13/day *There is a charge if you bring your own food and it is NOT prepackaged- $2/day per animal *Medication fee is $2/ day per animal Financial Arrangements: I certify that I am the legal owner of the pet(s) being boarded. I assume responsibility for all charges incurred in the care of this animal. I also understand that these charges will be paid at the time of release. I understand that payment can be made in the form of cash, check, MC, Visa, or Discover. I fully intend to pick up my pet(s) on the above-specified date. If circumstances change, I will notify Middletown Veterinary Hospital of a new pick up date and will pay in full the charges that were incurred at that time. I understand that if no notification of a delay is given, my pet will be considered abandoned after 3 days and will become property of Middletown Veterinary Hospital. I understand that my pet will be cared for in a conscientious and loving manner and be housed in a sanitary and properly enclosed facility. Therefore, I will not hold Middletown Veterinary Hospital responsible if my pet is lost, stolen, becomes ill or dies in their custody. My signature certifies that I have read, understood, and agree to all the provisions herein concerning my pet being cared for at Middletown Veterinary Hospital. Signature Date signed Do you give permission for Middletown Vet to photograph your pet and possibly use it on our facebook or website?? Y N Initials: