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Admissions Consultation Request Form
  Thank you for reaching out to Lollypop Farm. We are here to help you make the best decision for you and the animals in your care. Your responses to the following questions will help us understand the challenge you are facing.

  Please fill out this form to the best of your ability and an admissions counselor will reach out to help you. It may take up to 3-5 business days for us to respond to your online request, but we will be in touch as soon as possible.

  Please note: In the interest of serving you as efficiently and consistently as possible, if you have already reached out to us via voicemail, we respectfully request that you please wait for our return call. Voicemails can take up to five days to receive a response. Please help us to assist you as efficiently as possible by refraining from also filling out an online request. 
Email *
Name *
Phone Number *
What county do you live in? *
Type of Pet *
How long have you had the animal(s)? *
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This form was created inside of Lollypop Farm, the Humane Society of Greater Rochester.