CCDR Vetting Request Form
Vetting requirements above our standard vetting must have board approval first. Please get an estimate from your veterinarian in detail for all costs and fill in this form. This will be sent to the board for approval. All areas must be filled out to get approval for vetting. You may contact the board regarding this request by writing to vetting@c2cdr.org. Please put as many details in your note as possible to save time.
Date:
Name of Dog:
Dog's ID number (required):
Age of Dog:
Member who is responsible for this dog:
Member's phone number:
Member's e-mail address:
Name of Vet Clinic:
Vet clinic's address 
(street,city,state,zip)
Planned date of procedure:
Procedure to be performed. 
Please be detailed:
Estimate of total cost:
If there is a low estimate, what is it?
If there is a high estimate, what is it?
If an estimate has been given and the vet has provided a cost breakdown, please list the itemized costs.
Does the above price include a discount?
If there is no discount associated with the estimate, will a discount be applied later?
Is this an emergency request?
Any other notes you wish to add?