Request Our Services

Type of Service Requested

Individual to be visited

Name*

First Last

Name of Group, Facility, or Event

Type of Audience

Address

Please tell us where this request will be fulfilled

Street Address Address Line 2 City State Zip Code

County

Type of Visit

Preferred Pet Type

Gender of person(s) to be seen

Additional Details

Please include any details that will help our Volunteers better understand your needs.

Preferred Date

Time

: HH

MM

Name

First Last

Phone

Email

* In order to process your request, please complete and submit this form to the office. (requests@kpets.org). Thank you!

Donor / Sponsor Opportunities

Approvals & Legal Information

To fulfill your requests as quickly as possible, please approve the following items:

I approve KPETS to post my request on the KPETS Konnections Blog
I approve my name, email, and phone number to be posted on the KPETS Konnections Blog.
I understand that KPETS will not be held liable for the connections made.
I have signed and returned the recipient release form.