EmailMe Form - KPETS Visit / Event Request Form

Your Name:

First Last

Phone number:

to be used by volunteers to contact you regarding this request

Email:

to be used by volunteers to contact you regarding this request

Type of visit:

Individual

Facility or Group

Presentation

Event

If Event, name of event:

If event, please explain in detail - date, time, what you are requesting:

Request is for - check all that apply:

Facility / Business name:

If Individual - Name:

First Last

If Individual, Gender:

Male

Female

Address of location:

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

To help us find volunteers in your area, please list the county where the visit is located.

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

To fulfill your request as quickly as possible, it is best to check all boxes

I approve KPETS posting my request on the KPETS Konnection Blog

I approve my name and email being listed for contact purposes on the KPETS Konnection Blog

I agree that KPETS will not be held liable for the connections made.

A summary of your request will be posted on the KPETS Konnections Blog for KPETS volunteers to view. Your contact information will be posted for them to contact you directly. Personal information regarding the person(s) visited will not be included. You may share that with the volunteer(s) privately when they contact you. We will keep on file only for our records.

Once the request is posted, you will be sent a link to your listing where you will be able to view comments and/or add additional information.

We realize KPETS is a local non-profit that does not charge for services and survives on donations from the community. Please send me information on donor / sponsor opportunities.

Agree