This Daycare Waiver and Release of Liability is being created by:

for the benefit of Eastern Animal Hospital, Inc. (“EAH”) regarding services for:

By choosing to utilize the daycare services of EAH (the “Services”), Owner hereby consents to the following by initialing
below and understands that EAH intends to rely on the information provided by Owner in this Waiver. Owner remains
responsible for any unfilled obligations to EAH which arise prior to termination of Services.

I agree to pay the rates that are in effect at the time of Service. I am aware that extra charges may be
incurred, and I agree to pay them at the time of pick-up, including, but not limited to, late pick-up
charges.

All dogs must be brought in to the EAH facility in a controlled manner on a leash and a collar or harness
with proper identification. All dogs are required to meet certain health and temperament
requirements, including but not limited to, up-to-date inoculations for distemper, lepto, bordetella,
influenza and rabies. All dogs must have a current/clear intestinal parasite screen and they must be on
flea and heartworm prevention. All dogs must be spayed/neutered by six (6) months of age.

I understand that in order for my dog to remain eligible to participatein the Services, that he/she must attend and engage in the Service no less than once per month.

I understand that upon entering EAH my dog will be examined for fleas. If fleas are found, we will administer an oral medication that will rid the pet of any fleas. Your dog will not be admitted to daycare and you will be required to pick your pet up immediately. All daycare guests are required to be on a 30-day flea preventive.

I understand that an interactive play setting is not without some risk of injury and that dogs are not
always predictable. I recognize that the benefits of an interactive playgroup are valuable to my dog and
accept the potential risks. I further agree that if my dog displays aggressive, harmful or nuisance
behaviors, he/she may be confined to a kennel until he/she can be picked up. I further agree that I am
responsible for any veterinary/medical expenses incurred because of injury to or caused by my dog.

If my dog appears to need veterinary treatment, I authorize EAH to engage the services of a veterinarian
at my expense, to give other requisite attention, and to make whatever decisions are required for my
dog’s veterinary treatment. I agree to pay all veterinary charges incurred by my dog while in the care of
EAH. I will not hold EAH liable for failure to seek veterinary attention or for decisions made under this
Waiver.

I give my consent for my dog to be photographed or recorded while at the EAH facilities. I expressly
give EAH permission to use my dog’s image or recording at any time, without compensation, on its
website, social media pages and advertising or marketing material. Owner releases EAH for any rights
or claims Owner may have over such image, likeness or recording, etc.

EAH reserves the right to terminate the Services at any time in its sole and exclusive discretion. Without
limiting the foregoing in any manner, EAH may terminate Services for aggression or other behavioral
issues.

I understand that EAH will exercise all due diligence and care in the guardianship of my dog. I hereby waive and
release EAH, its employees, owners, and agents from all liability of any nature, for injury or damage, including that
which may result from the action of any dog including my own, and I expressly assume the risk of such damage or
injury while my dog participates in or attends any function of EAH, while on the grounds or the surrounding area
thereto. On behalf of myself and all other owners of this dog, I have read and agree to the terms of this Waiver and
Release and by signing below certify and warrant that I have the authority to represent all other owners of this dog
and agree to be bound by the terms and conditions of this Waiver.