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*

I emailed my Recipient Release form
I sent my Recipient Release form by postal service
My Recipient Release form should be on file with KPETS .

Use dropdown to select Type of Service Requested

Individual to be visited

Individual to Visit*

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About Your Group, Facility or Event...

Name of Group, Facility, or Event

Type of Audience

About Your Request...

Address

Please tell us where this request will be fulfilled

Street Address Address Line 2 City State Zip Code

County

Type of Visit

One Time
Monthly
Specific Dates/Times

Preferred Pet Type

Dog
Cat
Miniature Equine
Other

Gender of person(s) to be seen

Male
Female
Both

Additional Details

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

Date and Time Information

Preferred Date

Time - If time sensitive, please include here

: HH

MM

Contact Information...

ContactName

ContactFirstName ContactLastName

ContactPhone

Email*

Donor / Sponsor Opportunities

Please send me information on KPETS Donor and 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.

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Touching Lives, Warming Hearts

Through Human & Animal Interactions