NRTR   Instructions
                                           ELECTRONIC FORM
INCLUDING AOL USERS
                          DOG REGISTRATION Certificate/Pedigree
FEES FOR CERTIFICATES AND PEDIGREES
If you can't or would rather not fill out the online form please see our print form page.
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National Rat Terrier Registry

Dog Information

Date: Breed of Dog:
Name: Date of Birth:
Sire Name: Dam Name:
Registered with? Registration Number
Coat Color: Eye Color:
Nose Color: .
Patterns/Markings:
Enter # choice
1. Tri-Colored
2. Patches of Color
3. Solid
4. White blaze-
collar-boots-chest
Size: Enter Type
Toy Tot Under 5lbs
Toy Under 10lbs
Mini 10-18lbs
Standard 18-28lbs
Decker Giant22-40lbs
Breeder: Breeders Kennel Name:
Sex:. Body Type 
A-Square or B-Long
Owner: Co Owner:
Microchip/Tattoo: Titles:

Sires Information

Sire's Date of Birth: .
Sire's Father Sire's Mother
Registered with? Registration Number
Coat Color: Eye Color:
Nose Color: .
Patterns / Markings:
Enter # choice
1. Tri-Colored
2. Patches of Color
3. Solid
4. White blaze-
collar-boots-chest
Size: Enter Type
Toy Tot Under 5lbs
Toy Under 10lbs
Mini 10-18lbs
Standard 18-28lbs
Decker Giant22-40lbs
Breeder: Breeder Kennel Name:
Sex . Body Type 
A-Square or B-Long
Owner: Co Owner:
Tattoo: Titles:

Dams Information

Date of Birth: .
Dams Father: Dams Mother:
Registered With? Registration Number
Coat Color: Eye Color:
Nose Color: .
Patterns / Markings:
Enter # choice
1. Tri-Colored
2. Patches of Color
3. Solid
4. White blaze-
collar-boots-chest
Size: Enter Type
Toy Tot Under 5lbs
Toy Under 10lbs
Mini 10-18lbs
Standard 18-28lbs
Decker Giant22-40lbs
Breeder: Breeders Kennel Name:
Sex . Body Type 
A-Square or B-Long
Owner: Co Owner:
Tattoo: Titles:

Owners Information

Street Address: .
City: State:
Zip: Phone:
E Mail: Club Affiliation:

Co Owners Information

Street Address: .
City: State:
Zip: Phone:
E Mail: Club Affiliation:

GrandSire-(Dogs Grandfather on Sire's Side)

Date of Birth: .
Grand Sire's Father Name Grand Sire's Mother Name
Registered with? Registration Number
Coat Color: Eye Color:
Nose Color: .
Patterns / Markings:
Enter # choice
1. Tri-Colored
2. Patches of Color
3. Solid
4. White blaze-
collar-boots-chest
Size: Enter Type
Toy Tot Under 5lbs
Toy Under 10lbs
Mini 10-18lbs
Standard 18-28lbs
Decker Giant22-40lbs
Breeder: Breeders Kennel Name:
Sex . Body Type 
A-Square or B-Long
Owner: Co Owner:
Tattoo: Titles:

GrandDam-(Dogs Grandmother on Sire's Side)

Date of Birth: .
Grand Dam's Father Name Grand Dam's Mother Name
Registered with? Registration Number
Coat Color: Eye Color:
Nose Color: .
Patterns / Markings:
Enter # choice
1. Tri-Colored
2. Patches of Color
3. Solid
4. White blaze-
collar-boots-chest
Size: Enter Type
Toy Tot Under 5lbs
Toy Under 10lbs
Mini 10-18lbs
Standard 18-28lbs
Decker Giant22-40lbs
Breeder: Breeders Kennel Name:
Sex . Body Type 
A-Square or B-Long
Owner: Co Owner:
Tattoo: Titles:

 

GrandSire-(Dogs Grandfather on Dam's Side)

Date of Birth: .
Grand Sire's Father Name Grand Sire's Mother Name
Registered with? Registration Number
Coat Color: Eye Color:
Nose Color: .
Patterns / Markings:
Enter # choice
1. Tri-Colored
2. Patches of Color
3. Solid
4. White blaze-
collar-boots-chest
Size: Enter Type
Toy Tot Under 5lbs
Toy Under 10lbs
Mini 10-18lbs
Standard18-28lbs
Decker Giant22-40lbs
Breeder: Breeders Kennel Name:
Sex . Body Type 
A-Square or B-Long
Owner: Co Owner:
Tattoo: Titles:

GrandDam - Dam's Side

Date of Birth: .
Grand Dam's Father Name Grand Dam's Mother Name
Registered with? Registration Number
Coat Color: Eye Color:
Nose Color: .
Patterns / Markings:
Enter # choice
1. Tri-Colored
2. Patches of Color
3. Solid
4. White blaze-
collar-boots-chest
Size: Enter Type
Toy Tot Under 5lbs
Toy Under 10lbs
Mini 10-18lbs
Standard 18-28lbs
Decker Giant22-40lbS
Breeder: Breeders Kennel Name:
Sex . Body Type 
A-Square or B-Long
Owner: Co Owner:
Tattoo: Titles:

Additional Pedigree information can be entered in the comments box below.
 
Type Of Pedigree Requested
A  $10.00 for Photo I. D. (new dog)
$12.00 for Photo I. D. listing sire and dam
C  $15.00 for Photo I. D.with 2 Generation Pedigree
D  $20.00 Dog/Pup, Sire and Dam Photo Certificate
  $30.00 Dog/Pup, Sire, Dam and Grandparents Photo Pedigree
F  $8.00 puppy  Certificate(non-photo)
G  $10.00 two generations Certificate(non-photo)
H $15.00 three generations Certificate(non-photo)
I $20.00 four generations Certificate(non-photo)
J $30.00 five generations Certificate(non-photo)
Enter Type Requested
(enter letter)
 MAIL APPROPRIATE FEES PAYABLE ONLY BY MONEY ORDER OR BANK CHECK, NO PERSONAL CHECKS TO: NRTR  26 PARK DRIVE  ROCKY HILL, CT 06067
Comments:

If you are requesting a Photo Pedigree,
along with this application, send in CLEAR, CLOSEUP
photos of all the dogs that you would like to appear
on the Certificate.


Questions? E-Mail to nrta@cox.net