On-Line
Grooming Appointment
Request Form

Welcome to Kathy's Pampered Paws!

We look forward to seeing you and your pet.
We will contact you within the next 48 hours to confirm your appointment and your selected date.
If you have any questions, or need immediate help,
please feel free to call us at 931-647-0586.

If you have any questions about our prices,
please check back to our main web site by clicking the prices link

Customer Information

First Name

Last Name

Phone Number

Cell Phone Number

Email Address

Are you a New Customer?

Yes

I am an Existing Customer

Street Address

Address Line 2

City

State

Zip Code

Referred by

Pet Information

	Pet 1	Pet 2	Pet 3
Pet's Names

Please answer the following questions about your furry pal.

	Pet 1	Pet 2	Pet 3
Pet's Name?
Pet's Breed?
Pet's Weight?
Is Your Pet a Cat or Dog?

What are you wanting to have done to your furry pal?

	Pet 1	Pet 2	Pet 3	Pet 4
Just a bath - includes nail clipping and ear cleaning
Trim - face, pads, and sanitary area only - includes bath, nail clipping, & ear cleaning
Hair cut - All over clip - includes bath, nail clipping, & ear cleaning

Tell us about your pet(s). Below, you can let us know how you want your dog cut, if he or she has any allergies or sensitivities we should know about, hidden moles or tumors, if he or she is a biter, etc. Please do not hesitate to be as specific as you deem necessary.

Below you will select your 1st and 2nd choice for an appointment date.
*Please note that Monday through Friday you may drop off your pet anytime between 8am-10am and Saturday anytime between 8am-9am.
When you drop your pet off you will be given a completion time for when your pet will be ready to be picked up. For your convenience, you may pick them up anytime between then and our closing time.

1st choice appointment date?
(at least 2 days from today)

2nd Choice Appointment Date?
(if 1st is unavailable)

Which Location will best serve you?

Veterinary Information

If you are a new client and we do not have your pet's records on file, you are required to bring them in with you on the day your pet is scheduled to be groomed.

Dogs- Rabies, DHLPP(distemper/Parvo vaccine)
Cats-Rabies, FVRCP (Feline distemper combination)

Deposit Information

A $20 deposit is required to schedule a grooming appointment online. The deposit will be credited to your account and applied at check out. If you do not show up for your appointment and do not call and reschedule or cancel, your deposit will be forfieted. Please remember to call and reschedule or cancel if you can not make your appointment to avoid additional charges.

By checking this box, I acknowledge the terms and conditions of our cancellation policy and agree to abide by them.

When you click continue you will be directed to the paypal to place your deposit secure your appointment

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