Request Our Services

* In order to process your request below,
click here to complete our Recipient Release form.
Submit it to requests@kpets.org or mail to

KPETS, 2120 Oregon Pike, Lancaster, PA 17601.

Recipient Release Form Completed*

Use dropdown to select Type of Service Requested

Individual to be visited

Individual to Visit*

IndToVisitFirst IndToVisitLast

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.

We prefer three weeks advance notice, but feel free to submit your request and we will do our best to fill your need.

Preferred Date

Time of event or visit

: HH

MM

ContactName

ContactFirstName ContactLastName

ContactPhone

Email*

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.