* In order to process your request below, click here to complete our Recipient Release form.Submit it to requests@kpets.org or mail toKPETS, 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*Visit an IndividualVisit a Facility or GroupPresentationEventName of Group, Facility, or Event*Individual to be visitedIndividual to Visit* IndToVisitFirst IndToVisitLast About Your Group, Facility or Event...Type of AudienceElderlyChildrenTeensAt-risk TeensSpecial needsRehab Therapy (PT, OT, ST or Cognitive)About Your Request...AddressPlease tell us where this request will be fulfilled Street Address Address Line 2 City State Zip Code County - not CountRy. 🙂Type of Visit*One TimeMonthlySpecific Dates/TimesPreferred Pet Type Dog Cat Miniature Equine Other Gender of person(s) to be seenMaleFemaleBothAdditional DetailsPlease include any details that will help our Volunteers better understand your needs.Date InformationWe prefer three weeks advance notice, but feel free to submit your request and we will do our best to fill your need.Preferred Date Date Format: MM slash DD slash YYYY Start Time of event or visit : HH MM AM PM End Time : HH MM AM PM Approx number of attendees*Contact Information...ContactName ContactFirstName ContactLastName ContactPhoneEmail* Donor / Sponsor Opportunities Please send me information on KPETS Donor and Sponsor Opportunities Approvals & Legal InformationTo 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.
click here to complete our Recipient Release form.
Submit it to requests@kpets.org or mail to
KPETS, 2120 Oregon Pike, Lancaster, PA 17601.
