INSTRUCTIONS FOR REGISTERING A DOG THAT
HAS NOT BEEN
1. Owner of dog must fill out OWNER OF DOG FORM.
2. Bring the QUICK REFERENCE GUIDE and the NRTA DOG VERIFICATION VET FORM to your veterinarian and have them fill it out. Return the form from your vet, filled out and signed to the NRTA.
Person applying for dog registration returns the Owners Form,
any other pedigree or history information, three photos of the dog taken
from the front, side and rear, and proof of origin of the dog. *See Below.
Mail all the information along with a 10.00 fee to NRTA 26 Park Drive Rocky
Hill, CT 06067 Phone # 860-563-2293
Payment by Money Order or Bank Check only, No Personal Checks
Once all the information has been received and reviewed you will be sent your dog registration certificate or a letter stating why that dog could not be registered.
*Proof of Origin
Origin of the dog applies to the first owner and means:
• How was the dog first obtained; purchased, gift, etc
• Where did the dog come from; private owner, breeder, pet store
• Who bred the dog; Must include Breeders full Name and Address, Kennel Name and Phone
number if applicable.
Important please read below
1. Tom purchased a dog from a Breeder, the Origin of the dog would be the Breeder. The
information that we would need is a copy of your original purchase agreement that shows all the
breeder information, Name, Address etc.
2. Sam purchased a dog from Joe, Joe purchased the dog from Jane, the Origin of the dog would be
from Jane. The information that we would need would be from where Jane obtained the dog. A copy
of her original purchase agreement or a signed notarized statement from Jane listing her purchase
from the breeder along with the breeders name, address and phone number.
Note: If the origin of the dog was from a Pet Store, Broker, Rescue,
ASPCA, Shelter, Humane
Society etc. it would not be eligible for registration. Falsification of any information being submitted
will result in immediate rejection into the registry. Scroll down for next page.
OWNER OF DOG FORM
Owners Please fill out this Page as completely as possible.
Owners Name _______________________________________________________________________
City, State, Zip _______________________________________________________________________
Phone __________________________________E-Mail ______________________________________
BREEDER OR HOW DOG WAS OBTAINED: This information is required to register a dog. Dogs acquired from Rescues, Shelters, Humane Society's, Pet Stores or the ASPSA are not eligible for registration with the NRTR. ALSO PLEASE ATTACH PROOF OF ORIGIN OF DOG INFORMATION. REFER TO INSTRUCTION SHEET.
(From) Name of person or breeder __________________________________________________
City, State, Zip __________________________________________________________________
Phone __________________________________E-Mail _________________________________
How long have you owned the dog__________________________________
Name of Dog___________________________Sex_____Eye color__________Nosecolor_________
Coat color_________________________________Date of Birth_______________Weight_________
Patterns/Markings-(Circle One) 1.Tri-Colored 2.Patches of Color 3.Solid 4.White blaze-collar-boots-chest
Type A_______ Type B_______ (Check One) Natural Bob Tail (Yes or No)__________
Your Kennel Name_______________________________Reg. #(if known)_____________________
Toy under 10lbs_____Mini 10-18lbs_____Standard 18-28lbs______Decker 22-40lbs________
Please attach any known pedigree/history information.
NRTA DOG VERIFICATION VET FORM
General Condition of Dog________________________________________________________
Does the dog have any of the following diseases:
Demodectic Mange ____Yes____No
Major Allergies ____Yes____No
Does the dog appear to be in good condition____Yes____No
I find this dog to be an acceptable specimen of the Rat Terrier breed.
.Name of Vet Clinic______________________________________
Veterinarians Name_________________________License #____________________________
Veterinarians Signature______________________Phone Number________________________