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Titan’s Doggy Daycare and Boarding

2029 N Main St
Sunset, UT 84015
801-776-5540
Cell: 801-807-8291
Hours: Mon-Fri 7:00 a.m. – 6:00 p.m.
Visit us at: www.titanspetcare.com and
on Facebook at Titan’s Doggy Daycare

Owner Information:
Name(s): ______________________________________________________________

Address: ______________________________________________________________

City: _____________________________State, Zip: _______________________

Phone: _____________________________ Cell: ___________________________

E-mail: _______________________ (for promotions and coupons to be sent to your e-mail)

Dog Information:
Name: _____________________________Breed: __________________________

Sex: M.  F.  Color: __________________________

All pets must be spayed/neutered Age: __________________________

Veterinary Clinic:
Clinic Name: __________________________________________________________
Vaccination:
Please, provide vaccination record from you veterinary clinic

Record has to include: Rabies, DHPP and Bordetella every 6 mos to 1 year

Emergency Contact:
Name: ____________________________ Phone: ___________________________

Who else besides yourself has permission to pick up your pet?

Name(s) and relationship: _____________________________________

Special Needs:
Is your pet currently taking any medications? If so, please list followed by dosage and administering
procedure:
_____________________________________________________________________________________

Are there any medical concerns, or disabilities, that we should be aware? If so, please
advise:_____________________________________________________________

________________________________________________________________________

Information about your pet:


To the best of your knowledge, does your pet have any food/treat/toy aggression (with people or
other dogs)? If so, please describe: _____________________________________

_____________________________________________________________________

_____________________________________________________________________
Has your dog been exposed to other dogs, dog parks, kennels, etc? If so, please describe your dog’s
behavior:

_____________________________________________________________________________________
_____________________________________________________________________________________
______________________________________________

Any special comments:

___________________________________________________________________
___________________________________________________________________
_________________________________________________

How do you found out about us? ____________________________________

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