NRTR
                                                                     Back    Online Registration Form
.National Rat Terrier Registry
CERTIFICATE/PEDIGREE APPLICATION LONG FORM
PRINT - FILL OUT AND SEND TO:
NRTA
26 Park Drive
Rocky Hill, CT 06067-1717
Phone 860-563-2293
Questions?  E-mail nrta@cox.net
Registration fees are listed below on the Fee Schedule. No Personal Checks Accepted
SECTION A. Description of Dog
Breed of Dog___________________Sex_______Eye color_______________Nose color_____________

Coat color__________________________Date of Birth____________________Weight___________ 
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(Circle One) Patterns/Markings-  1.Tri-Colored   2.Patches of Color   3.Solid   4.White blaze-collar-boots-chest
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(Circle One) Type A____________Type B ___________
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Breeders Kennel Name__________________________Reg. #(if previously registered)_______________
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Toy under 10lbs_______ Mini 10-18lbs________Standard 18-28lbs_______ Decker Giant 22-40lbs______
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Name of Dog being recorded. Submit 2 different choices.  Leave a space between words. If dog is already registered with another association, the name must remain the same.
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1st choice ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ __
2nd choice ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ __ 
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SECTION B Information on Owner(s) 
Name of Owner____________________________________Address_____________________________

City_____________________________________________State______________Zip_______________

Email____________________________________________

Phone#________________________________Signature_______________________________________

Name of Co-Owner_________________________________Address_____________________________

City_____________________________________________State______________Zip______________

Phone#________________________________Signature______________________________________
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SECTION C REQUIRED Information on Breeder or Person dog was obtained from
Name of Breeder/Kennel Name _________________________________Phone_____________________

Address_____________________________City_________________State________Zip____________

SECTION D  (On Next Page) Pedigree information. In the Coat Color boxes below, write in ALL the colors of your dogs coat and circle the letter that best describes the dogs coat patterns/ markings. Refer to the shaded box in the upper left hand corner of the application for descriptions of patterns/markings. 
SECTION D
PATTERNS/MARKINGS
(A)  solid
Name of Grand sire Name of Great Grand sire
(B)  patches/spots of color ( piebald)
(C)  Tri colored  (3 colors on coat)
Coat Color
Pattern  A  B  C  D 
Coat Color
Pattern  A  B  C  D
(D)  white blaze, collar, boots, chest 
       (No patches of color)
Nose Color  
Name of Sire Date of Birth Name of Great Grandam
Coat Color
Pattern  A  B  C  D
Reg# Coat Color
Pattern  A  B  C  D
Nose Color .  
Date of Birth Name of Grandam Name of Great Grand sire
Reg# Coat Color
Pattern  A  B  C  D
Coat Color
Pattern  A  B  C  D
Size(Circle One) Toy-Mini-Standard-Decker Nose Color  
. Date of Birth Name of Great Grandam

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Reg# Coat Color
Pattern  A  B  C  D
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Name of Grand sire Name of Great Grand sire

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Coat Color
Pattern  A  B  C  D
Coat Color
. Nose Color
Name of Dam Date of Birth Name of Great Grandam
Coat Color
Pattern  A  B  C  D
Reg# Coat Color
Pattern  A  B  C  D
Nose Color .  
Date of Birth Name of  Grandam Name of Great Grand sire
Reg# Coat Color
Pattern  A  B  C  D
Coat Color
Pattern  A  B  C  D
Size(Circle One) Toy-Mini-Standard-Decker Nose Color  
  Date of Birth Name of Great Grandam
  Reg# Coat Color
Pattern  A  B  C  D

Enter the letter for the type of pedigree/certificate requested from the Fee Schedule_____.
Please include Money Order or Bank Check No Personal Checks.
Amount enclosed____________.
 
 

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FEE SCHEDULE

PHOTO REGISTRATION FEES:

A - $10.00 for Photo I. D. Certificate (new registration) with dog or puppies picture on it.
B - $12.00 Photo I.D. Certificate listing Sire and Dam
C- $15.00 for Photo I. D.Certificate with 2 Generation Pedigree
D- $20.00 Dog/Pup, Sire and Dam Photo Pedigree Certificate
E - $30.00 Dog/Pup, Sire, Dam and Grandparents Photo Pedigree Certificate (if available)
Note: Photo(s) must be submitted along with registration fee. Photo(s) must be at least 3" x 5",Clear
and showing full view of dog, no Polaroid's accepted. All photos and registrations become the sole property of the NRTR and can not be returned.
FEES:(non-photo registration).
F - $8.00 for Registration Certificate
G- $10.00 for 2 generations
H-  $15.00 for3 generations
I - $20.00 for 4 generations
J -$30.00 for 5 generations
      $5.00 for each supplemental transfer
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LITTER REGISTRATION FEE:
$2.00 per litter to cover postage and materials if mailed in. FREE Online litter registration
Proper registration fee must be received in the mail before the application can be processed.

Copyright © 1996-2011 National Rat Terrier Association (NRTA)