Online Reservation Form

In order for your online boarding reservation to go through, you must first enter the code in the verification box at the bottom of this form before hitting submit. You will receive a case number as verification that your reservation was accepted.

* Required

Title

First Name *

Last Name *

Email Address *

Home Address *

City *

State *

Zipcode/Postcode *

Country *

Home Phone Number *

Work Phone Number *

Cell Phone Number *

Pet arrival date: *

What time will you be dropping off your pet? *

Pet departure date: *

What time will you be picking up your pet? *

Boarding Kennel location: *

Name of pet(s): *

Type of pet(s): *
Dog
Cat

Breed: *

Weight: *

Age: *

Gender: *

Neutered? *

Veterinarian Name / Address / Phone Number *

Rabies Expiration Date: *

Bordatella (Kennel Cough) Expiration Date:

DHPP Expiration:

Rabies Expiration Date:

FVRP Expiration Date:

FELV Expiration Date:

Medical History: *

Current Medications: *

Special Dietary Needs: *

Enter Word Verification in box below *
Captcha Image

Location:

The Simon Foundation
120 Rescue Lane
Bloomfield, CT 06002

Use our former address 89 West Dudley Town Rd to MapQuest or program your GPS system for directions.