Request Our Services

* In order to process your Visit Request below, first click here
to complete the KPETS Terms and Conditions for Services form .
Submit it to requests@kpets.org or mail to

KPETS, 2120 Oregon Pike, Lancaster, PA 17601.

My KPETS Terms and Conditions for Services Form has been signed and completed. It was submitted via:*

NOTE: this is a new from due to Covid19. All previous forms on file must be replaced with this new form.

I emailed the form
I sent the form via Postal Service

Use dropdown to select Type of Service Requested*

Name of Group, Facility, or Event*

Type of Audience

Individual to be visited

Individual to Visit*

IndToVisitFirst IndToVisitLast

Facility Type*

Approx Number of attendees*

Individual
Small group (less than 5)
Medium group (between 5-15
Large group (more than 15)

Activity Level of those where visits occur

Active (high activity, many distractions, volatile setting, routinely unanticipated interactions)
Moderate (some activity and distractions, some unanticipated interactions)
Quiet (low activity, predictabel setting)

About Your Group, Facility or Event...

Address and Details

About Your Request...

Address

Please tell us where this request will be fulfilled

Street Address Address Line 2 City State Zip Code

County - not CountRy. 🙂

Type of Visit*

One Time
Monthly
Specific Dates/Times

Gender of person(s) to be seen

Male
Female
Both

Preferred Pet Type

Dog
Cat
Miniature Equine
Other

Additional Details

Please include COVID related guidelines and expectations for our volunteers to safely visit.

Date Information

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

Start Time of event or visit

: HH

MM

End Time

: HH

MM

Approx number of attendees*

Contact Information...

ContactName

ContactFirstName ContactLastName

Contact Title

ContactPhone

Contact 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.

Touching Lives, Warming Hearts

Through Human & Animal Interactions

Individual to be visited

About Your Group, Facility or Event...

About Your Request...

Date Information

Contact Information...