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NTCA Membership Application Form

NTCA Membership Application FormAmanda Kozora2021-08-15T21:40:11-04:00

Membership Application

1Applicant Information
2NTCA Membership Application
3NTCA Code of Ethics
4Electronic Communications and Postal Fee
5Membership Application Signature
6Comments
7Payment
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  • Sponsors must be individual or dual members of the NTCA and personally well-acquainted with the applicant for a continuous period of 24 months for individual, dual, and junior membership applicants or 6 months for associate membership applicants. International members may only sponsor International applicants.
  • Sponsors must be individual or dual members of the NTCA and personally well-acquainted with the applicant for a continuous period of 24 months for individual, dual, and junior membership applicants or 6 months for associate membership applicants. International members may only sponsor International applicants.
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  • List the following information for all Norwich you own, co-own, or that reside with you.
    1. AKC Registered Name
    2. AKC Registration Number
    3. Male/Female
    4. Date of Birth
    5. Neutered or Intact?
    6. Does this Norwich terrier reside with you? If yes, how long has this dog resided with you?
    7. Are you the owner or co-owner listed on the AKC registration?
    8. Is this Norwich terrier co-owned? If yes, what is co-owner's name?
    9. Who was this Norwich terrier acquired/purchased from?
    10. AKC titles earned by this Norwich terrier
    11. Please list health testing you have performed on this Norwich terrier and include any associated OFA numbers.
  • If you have more Norwich to list, please use the comments box at the end of this form.
  • List the following information for all litters (ANY BREED) you have bred or co-bred in the past 3 years.
    1. Breed
    2. Sire Name & CHIC # or other test results
    3. Dam Name & CHIC # or other test results
    4. Litter Registration #
    5. Date Whelped
    6. # Live puppies in litter
    7. Are you a breeder or co-breeder listed on the AKC litter registration?
    8. List co-breeder name (if any)
  • If you have more litters to list, please use the comments box at the end of this form.
  • A list of current NTCA committees can be found at Current NTCA Committees
  • Norwich Terrier Testing Recommendations
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  • The NTCA Code of Ethics can be viewed and downloaded HERE. Please read and review it carefully.
  • By signing this Code of Ethics, I acknowledge that I understand and agree with the purpose of the Norwich Terrier Club of America and that I will do my best to promote the best interests of the Club and the Norwich terrier. Furthermore, I will conduct myself in a manner of good sportsmanship at conformation, companion and performance events, so as to reflect positively on the sport of purebred dogs. I understand that violation of this Code of Ethics can subject me to the disciplinary process provided by the NTCA Constitution and Bylaws.
  • By signing this Code of Ethics, we acknowledge that we understand and agree with the purpose of the Norwich Terrier Club of America and that we will do our best to promote the best interests of the Club and the Norwich terrier. Furthermore, we will conduct ourselves in a manner of good sportsmanship at conformation, companion and performance events, so as to reflect positively on the sport of purebred dogs. We understand that violation of this Code of Ethics can subject us to the disciplinary process provided by the NTCA Constitution and Bylaws.
  • Junior applicants (10-17 years of age) shall agree to abide by the NTCA Code of Ethics, but do not need to return a signed copy of the NTCA Code of Ethics with their application. 
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  • In an effort to more efficiently communicate with our membership, it is requested that members use electronic options (email) whenever possible. This will reduce copy and postage costs substantially. If members opt for US Postal Service delivery for general communications in addition to electronic communications, they will be charged a $20.00 fee. Please read the following statement and check the box to indicate your preference before signing this form.
  • I agree as per the Bylaws of the NTCA to receive electronic communications (email). Communications will be limited to general mailings and announcements. This is a revocable agreement and I agree to release the NTCA, its Board, and Officers from any liability should communications be received late or not received by the member due to circumstances beyond the control of the NTCA.
  • We agree as per the Bylaws of the NTCA to receive electronic communications (email). Communications will be limited to general mailings and announcements. This is a revocable agreement and we agree to release the NTCA, its Board, and Officers from any liability should communications be received late or not received by the member due to circumstances beyond the control of the NTCA.
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  • I hereby apply for Junior Membership in the NTCA. I agree to abide by the Constitution and Bylaws, the Code of Ethics of the NTCA, and the rules and regulations of the AKC and NTCA, and to further promote the objectives of the NTCA by doing all in my power to protect and advance the interest in Norwich terriers through my sportsmanlike behavior in all areas.
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  • I hereby apply for Membership in the NTCA. I certify that I am 18 years of age or older, and that I have read the NTCA Constitution and Bylaws. I agree to abide by the NTCA Constitution and Bylaws, the Code of Ethics of the NTCA, and the rules and regulations of the AKC and NTCA. I further agree to promote the objectives of the NTCA by doing all in my power to protect and advance the interest in Norwich terriers, including but not limited to exhibiting good sportsmanlike behavior at AKC and NTCA events.
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  • I hereby apply for Membership in the NTCA. I certify that I am 18 years of age or older, and that I have read the NTCA Constitution and Bylaws. I agree to abide by the NTCA Constitution and Bylaws, the Code of Ethics of the NTCA, and the rules and regulations of the AKC and NTCA. I further agree to promote the objectives of the NTCA by doing all in my power to protect and advance the interest in Norwich terriers, including but not limited to exhibiting good sportsmanlike behavior at AKC and NTCA events.
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  • The following questions to be completed by parent/guardian.
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  • $0.00
  • Payment of dues in advance does not imply membership. If membership is denied, the NTCA Treasurer will reimburse the full amount of the dues that were paid, but not the non-refundable application fee.
  • Please send two checks to the Membership Chair, one in the amount of $15 for the non-refundable application fee, and one in the amount of dues and USPS postal fee (if chosen) listed above. Checks should be in US funds and made out to NTCA.
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