NRTR
                                                               SHORT FORM                            Instructions
.National Rat Terrier Registry
CERTIFICATE/PEDIGREE APPLICATION
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
Online Registration Form
SECTION A. Description of Dog
Breed of Dog___________________Sex_______Eye color_______________Nose color_____________

Coat color__________________________Date of Birth_______________________Weight_________ 

(Circle One) Patterns/Markings-  1.Tri-Colored   2.Patches of Color   3.Solid   4.White blaze-collar-boots-chest

(Circle One) Type A____________Type B ___________

Breeders Kennel Name________________________Reg. #(if previously registered)_________________

Toy under 10lbs_______ Mini 10-18lbs________Standard 18-28lbs_______ Decker Giant 22-40lbs______

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.

1st choice ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ __ 

2nd choice ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ __ 
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SECTION B Information on Owner(s) 
Name of Owner____________________________________Address_____________________________

City_____________________________________________State______________Zip_______________

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 _____________________________________  Phone__________________________

Address_____________________________City_________________State________Zip____________

SECTION D  Fill in Sire and Dam  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. 
Description of Sire
Breed of Dog______________________________Eye color_______________Nose color____________

Coat color__________________________Date of Birth_______________________Weight________

(Circle One) Patterns/Markings-  1.Tri-Colored   2.Patches of Color   3.Solid   4.White blaze-collar-boots-chest

(Circle One) Type A____________Type B __________

Sire's Name________________________________Reg. #(if previously registered)__________________

Toy under 10lbs_______ Mini 10-18lbs________Standard 18-28lbs_______ Decker Giant 22-40lbs______

Description of Dam
Breed of Dog______________________________Eye color_______________Nose color____________

Coat color__________________________Date of Birth_______________________Weight________ 

(Circle One) Patterns/Markings-  1.Tri-Colored   2.Patches of Color   3.Solid   4.White blaze-collar-boots-chest 

(Circle One) Type A____________Type B __________

Dam's Name_______________________________Reg. #(if previously registered)__________________

Toy under 10lbs_______ Mini 10-18lbs________Standard 18-28lbs_______ Decker Giant 22-40lbs______

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____________.

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
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)