Barkley

Square
Pet Services Agreement
I, ____________________, understand that Karing by Kristina LLC, d/b/a Barkley Square Professional Pet Services
(Barkley Square) is committed to making my life, and my pets life, easier by providing in-home pet care to
___________. Barkley Square agrees to provide services in a reliable and trustworthy manner at times as requested by
myself in either an oral (i.e., by telephone) or in written manner to the Barkley Square business office. Any requests and
changes (including information on the Pet and Client Profile forms) not reported to and confirmed by the Barkley Square
office will not be honored and Barkley Square, its walkers, associates or employees will not be held liable for any claims
or damages. (Initial_______)
Payment for Services
I have been advised by Barkley Square of its fees for rendered services and I agree that I am fully responsible for payment
due in full at the conclusion of each appointment. I hereby authorize Barkley Square to charge my credit card any unpaid
balances 10 days or more overdue. I understand that a finance charge of 10% will be added to invoices that are over 10
business days delinquent. I also agree that all cost, including emergency and/or medical costs, medication costs and food
costs, incurred by Barkley Square during the care of my pet is my responsibility and I will reimburse Barkley Square for
said costs. (Initial ______)
Medical Authorization/Power of Attorney
As the owner of the pet/animal set forth herein, I hereby grant Barkley Square, its employees, agents and/or independent
contractors, the authority to render care and make decisions with respect to the health and well-being of the above-named
pet(s). This power and authority shall extend to and include the authority to make decisions with respect to the feeding,
and sheltering of the above referenced animal(s); the authority to seek appropriate medical treatment or attention on behalf
of the above referenced animal(s) as may be required, including but not limited to, veterinary, and/or emergency care; and
the power to authorize medical treatment and/or procedures in the course of any veterinary and/or emergency care.
(Initial_______)
This power and authority also includes authorization to place any charges incurred by the above itemized care by any
veterinary doctor and/or clinic, emergency animal clinic and/or other care giver, in the course of any necessary treatment,
to be placed on my account which will be paid upon my return, or, in the event an account cannot be established, I
understand Barkley Square will pay a maximum of $200.00 to begin veterinary treatment. I agree to fully reimburse
Barkley Square for all necessary charges incurred in the care of the above referenced animal(s) in the acknowledgment
that I am solely responsible for the payment of all necessary costs incurred with respect to the care of the above referenced
animal(s). (Initial_______)
Key Release
I hereby authorize a representative of Barkley Square to use my house key(s) during the time she/he will be caring for my
pets. I understand that it is my responsibility to provide two (2) working sets of duplicate house keys and any applicable
alarm information. I also understand that, upon termination of service by either myself or Barkley Square, it is my
responsibility to arrange for the retrieval of my keys. If I do not use Barkley Squares services for a period of one year, I
understand that Barkley Square will automatically be disposed of without any further liability to Barkley Square.
(Initial_______)
Liability
I agree that Barkley Square, its employees, agents and/or contractors, will not be held liable to me or anyone who may
claim right due to relationship with me for any circumstances beyond its control, including but not limited to an
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unforeseen illness, injury, accidental death or reaction to veterinary treatment, damage to property or for the acts or
omissions in the performance of services on the part of Barkley Square, its employees, agents or contractors, unless such
acts or omissions are due to willful misconduct. I understand that all animals are cared for by Barkley Square without
liability on its part for loss or damage from, but not limited to, disease, death, running away, theft, fire, injury to persons
or other animals, or damage to property by my pet(s) or other unavoidable circumstances.
I indemnify and hold Barkley Square free and harmless from any obligations, costs, claims, judgments, attorney fees and
attachments arising from or in any way connected with services rendered to me unless Barkley Square is judged guilty of
willful misconduct. I understand that Barkley Square is bonded and insured. (Initial_______)
Photo Release
I grant to Barkley Square Pets the right to take photographs of the above-mentioned pet(s) in connection with the
rendering of Barkley Square services. I authorize Barkley Square Pets, its assigns and transferees to copyright, use and
publish the same in print and/or electronically. I agree that Barkley Square Pets may use such photographs of the abovementioned pet(s) with or without the pets name and for any lawful purpose, including for example such purposes as
publicity, illustration, advertising, and Web content. (Initial_______)
Enforceability
This contract will not be applicable until this signed agreement is returned to the Barkley Square office. This contract
shall remain in force under the laws of the Commonwealth of Virginia until written notification of cancellation is received
by Barkley Square. I have read and understood the above terms and I agree to abide by the terms as set forth with the
understanding that it is set forth to provide the best care for my home and pets.
____________________________________________
Client Printed Name

___________________________
Date

_____________________________________________________________________________
Street Address
_____________________________________________________________________________
City, State, Zip
_____________________________________________________________________________
E-Mail Address
______________________________________________________________________________
Client Signature

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Barkley Square
VIP (Very Important Pet) Service Registration
VIP Payment Policy
I understand that I will be eligible for significantly discounted pet care services in consideration for agreeing to a monthly
service agreement. I understand that I must provide Barkley Square with EFT payment information or a credit card to pay
all VIP fees. I authorize Barkley Square to charge all VIP fees to this bank or credit card account until such time as I give
cancellation notice according to the cancellation terms below. (Initial______)
Cancellation Policy
I understand that I may cancel my VIP service in its entirety by the 25th of the month preceding the month being
cancelled. Additionally, I understand that I may cancel, per month, the number of days that my program provides. 5-Day
programs receive 5 cancellations; 4-Day programs receive 4 cancellations; and 3-Day programs receive 3 cancellations. I
understand that the fees for these cancelled visits will be applied to the next months VIP service and will not be refunded
or applied to on-call services. I understand that if I cancel my VIP service with a credit on my account, that credit shall be
forfeited. I understand that no cash refunds will be given for my partial use of the program except in the case of the death
of the pet. If I elect to take advantage of the 3- or 6- month advance payment benefit, I understand that I will not be
entitled to a refund if I cancel my service before the end of the advance payment term. I also understand that I am not
entitled to receive credit for cancelled walks when taking advantage of the advance payment benefit. (Initial______)
Holiday Policy
I understand that the VIP program does not include walks on the following holidays: New Years Eve, New Years Day,
Easter Weekend, Memorial Day Weekend, Independence Day, Labor Day Weekend, Thanksgiving Day Weekend,
Christmas Eve and Christmas Day. Barkley Square will not provide services on these days as part of a Pre-Paid Monthly
contract if service is not specifically booked and confirmed. I understand that Barkley Square follows the Federal
Governments Inclement Weather Policy and that any VIP visits missed due to inclement weather will be credited to the
following months VIP invoice. (Initial______)
Scheduling Policy
VIP visits and cancellations must be scheduled through the office at 703-329-1043. I understand that if I do not request a
cancelled visit through the office, that cancellation may not be credited to my account. (Initial______)
I understand and agree to the terms and conditions of the Barkley Square VIP Service Program listed above.

____________________________________________
Client Printed Name

___________________________
Date

______________________________________________________________________________
Client Signature

Rev. 10/15

VIP Level of Service

Please select the VIP Level of Service you desire (all prices quoted are per walk):

Standard VIP Walks (30 minutes in length)

Standard Walks (30 mins)
5-Day/Wk, 1 Walk/Day
4-Day/Wk, 1 Walk/Day
3-Day/Wk, 1 Walk/Day

Regular VIP Program

$18.00
$19.00
$20.00

Extended Term Program (3 Mos)*

$17.00
$18.00
$19.00

Extended Term Program (6 Mos)*

$16.00
$17.00
$18.00

5-Day/Wk, 2 Walks/Day
4-Day/Wk, 2 Walks/Day
3-Day/Wk, 2 Walks/Day

$17.00
$18.00
$19.00

$16.00
$17.00
$18.00

$15.00
$16.00
$17.00

5-Day/Wk, 3 Walks/Day
4-Day/Wk, 3 Walks/Day
3-Day/Wk, 3 Walks/Day

$16.00
$17.00
$18.00

$15.00
$16.00
$17.00

$14.00
$15.00
$16.00

Express VIP Walks (20 minutes in length)

Express Walks (20 mins)
5-Day/Wk, 1 Walk/Day
4-Day/Wk, 1 Walk/Day
3-Day/Wk, 1 Walk/Day

Regular VIP Program

$16.00
$16.50
$17.00

Extended Term Program (3 Mos)*

$15.00
$15.50
$16.00

Extended Term Program (6 Mos)*

$14.00
$14.50
$15.00

5-Day/Wk, 2 Walks/Day
4-Day/Wk, 2 Walks/Day
3-Day/Wk, 2 Walks/Day

$15.50
$16.00
$16.50

$14.50
$15.00
$15.50

$13.50
$14.00
$14.50

5-Day/Wk, 3 Walks/Day
4-Day/Wk, 3 Walks/Day
3-Day/Wk, 3 Walks/Day

$15.00
$15.50
$16.00

$14.00
$14.50
$15.00

$13.00
$13.50
$14.00

Desired Start Date:___________________________

Credit Card Authorization
I hereby authorize Karing by Kristina LLC to charge the following card number for my VIP service invoices. I understand that my
card will be charged 7 calendar days before the 1st of the month on a recurring basis for the regular VIP program and immediately for
the Extended Term VIP program.
Cardholder Name:____________________________________________________________________________
Billing Address:______________________________________________________________________________
City, State, Zip:______________________________________________________________________________
Card Number _______________________________________________ Exp: _____Sec Code_______
Cardholder Signature:_________________________________________________________________________
*Extended Term VIP Program requires a 3 or 6 month commitment with payment for the entire term due and payable at the
beginning of service.
Rev. 10/15