OWNER NAME ____________________________________________________________

PET NAME(S) _____________________________________________________________

This is a CONTRACT between SUN-KIVA BOARDING KENNEL (hereinafter called “KENNEL) 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 KENNEL and to abide by current rules and regulations as posted in the office.
2. By signing this CONTRACT and leaving his/her pet with KENNEL, OWNER certifies to the accuracy of all information provided regarding said pet. OWNER specifically represents that he/she is the sole owner of the pet, free and clear of all liens and encumbrances.
3. OWNER agrees to be solely responsible for any and all acts of behavior of said pet while it is on the premises of KENNEL and or in the care of KENNEL. OWNER understands the KENNEL shall not be held responsible for destroyed and/or lost toys, bedding, or other personal items brought by OWNER and left at KENNEL for their pet’s use.
4. OWNER specifically represents to KENNEL that the pet has not been exposed to Rabies or Distemper within a thirty (30) day period prior to boarding. OWNER agrees to abide by the flea and tic policy established by KENNEL.
5. If pet becomes ill or if the state of the animal’s health otherwise requires professional attention, KENNEL, in it’s sole discretion, may engage the services of a veterinarian, administer medicine, or give requisite attention to the animal in the expenses thereof shall be paid by OWNER. OWNER further agrees to pay all costs and charges for special services (including supplies and medications) that are used, requested and/or necessary, and all veterinary costs for the pet during the time said pet is in the care of KENNEL.
6. OWNER agrees that the pet shall not leave KENNEL until all charges are paid to KENNEL by OWNER. All charges incurred by pet shall be payable upon pickup of the pet. All returned checks shall incur a penalty payable to KENNEL.
7. KENNEL shall have, and is hereby granted, a lien on the pet for any and all unpaid charges resulting from boarding pet at KENNEL. OWNER herby agrees that in the event the boarding charges are not paid when due in accordance with the CONTRACT, KENNEL may exercise its lien rights upon ten (19) days written notice given by KENNEL to OWNER by certified mail to the address shown in this CONTRACT. KENNEL may dispose of pet for any and all unpaid charges, including but not limited to private of public sale, in the sole discretion of KENNEL, and the OWNER specifically waives all statutory or legal rights to the contrary. If such disposal shall not secure a price adequate to pay costs of board and / or other delinquent charges, plus cost of said disposal, the OWNER shall be liable to KENNEL for the difference. All moneys realized by KENNEL at such disposal, over and above the charges due and costs of disposal, shall be paid by KENNEL to OWNER.
8. KENNEL shall exercise reasonable care for the pet delivered by OWNER to the KENNEL for boarding. It is expressly agreed by OWNER and KENNEL that SUN-KIVA BOARDING KENNEL’S liability shall in no event exceed the lesser of the current chattel value of a pet of the same species or the sum of $200.00 per animal boarded.
9. OWNER agrees that pet is up to date on shots required by KENNEL and shall provide proof of shot record from veterinarian upon boarding of pet. If OWNER does not provide required shot information KENNEL shall make the attempt to contact name of veterinarian provided by OWNER. If pet is not up to date on shots required by KENNEL, KENNEL, for the safety of staff and other pets being boarded at the facility, reserve the right to take pet to a veterinarian of choice by KENNEL to have the necessary shots administered. It is agreed attaining the required shots but not limited to the veterinarian bill, vaccinations and cost of t asset mileage fee set by KENNEL. OWNER agrees that all moneys owed resulting from event will be paid before the release of said pet.
10. This CONTRACT contains the entire agreement between the parties. All terms and conditions of this CONTRACT shall be binding on the heirs, administrators, personal representatives and assigns of OWNER and KENNEL.
11. Sun-Kiva (KENNEL) may in its discretion require a deposit upon boarding of any animal to secure payment for boarding or other fees.


______________________________________________ OWNER. DATE _______________________

KENNEL REPRESENTATIVE DATE:__________________, DATE ____________________________



HOME PHONE NUMBER:________________________ WORK PHONE__________________________

CELL PHONE ________________________________ PAGER ___________________________________

EMAIL ADDRESS _____________________________ WEB SITE ________________________________

ADDRESS (Street - no PO Box #)____________________________________________________________

(City) _____________________________ (State) ___________ (Zip)__________

EMERGENCY CONTACT - NAME ____________________________ PHONE ______________________

VETERINARIAN __________________________________________ PHONE _______________________

Pet name ______________________, Breed __________________, Color_______, Weight _______

Date of birth __________________________, Size________________

How did you first learn of our facility? (Please circle one) - Word of Mouth / Vet Referral / Yellow Pages / The Source Book / Sun-Kiva Website / Billboard / Other _____________________________________________

If someone referred you, may be have their name so we can thank them? _______________________

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DRIVER’S LICENSE # _________________________________ SEX ___ DATE OF BIRTH _________

NOTE: If you write a check and, for whatever reason, your bank returns that check, then you will be charged a penalty in the amount posted in the office.