NTCA Membership Application – Sponsor Form – Norwich Terrier Club of America

Sponsor Name*

First Last

I am an NTCA member with the following membership type:*

Individual Member (USA)
Dual Member (USA)
Individual Member (International)
Dual Member (International)

Sponsor Phone*

Sponsor Email*

Applicant Membership Type*

Individual Membership
Dual Membership
Associate Membership
Junior Membership

Applicant Name*

First Last

Dual Applicant Name*

First Last

How long have you been a member of the NTCA? (24 months minimum)*

How long have you known the applicant? Please list in years if greater than 36 months*

Sponsors must be personally well acquainted with the applicant for a continuous period of 24 months for individual, dual, and junior membership applicants and 6 months for associate membership applicants. International members may only sponsor International applicants.

Does the applicant have a AKC-registered Norwich terrier(s)?*

Yes
No

Does the applicant or his/her family have AKC-registered Norwich terrier(s)?*

Yes
No

How many Norwich does the applicant have?*

Describe your relationship with the applicant during the above period.*

Does the applicant participate with his/her Norwich terrier in performance or companion events?*

Conformation
Agility
Obedience
Earthdog
Rally
Therapy Dog
Junior Showmanship
Other
None

If other, please describe.*

Have you visited the applicant's home or kennel?*

Yes
No

Describe how the applicant cares for his/her dogs in his/her home or kennel.*

How many Norwich litters has the applicant bred during the period you have known him/her?*

Does the applicant have a Norwich terrier at stud?*

Yes
No

Does the applicant perform NTCA-recommended health testing prior to breeding his/her Norwich terrier?*

Yes
No
Not applicable

If no, please explain.*

Have you verified health testing?*

Yes
No

Has the applicant expressed any interest in serving on a Club committee?*

Yes
No

If yes, which committee(s)?

Does the applicant have enough time to contribute in a volunteer capacity to the NTCA?*

Yes
No
I don't know

Suggest any particular Club committees on which this applicant might best serve the Club.*

Would the applicant commit to take back or rehome a Norwich terrier that he/she bred or sold if necessary later in the lifetime of the dog?*

Yes
No

If no, please explain.*

Do you think that the applicant is knowledgeable about the NTCA Norwich Breed standard in order to cast an "informed" vote on the Standard?*

Yes
No

If no, please explain.*

Are you confident that the applicant will support the current approved NTCA breed Standard?*

Yes
No

Has the applicant attended NTCA events (national specialty, regional specialty, other)?*

Yes
No

If yes, when and where? If no, why not?

If yes, when and where?

Please comment on the reasons you are sponsoring this applicant for membership and explain why he/she would be a positive addition to the Club?*

NTCA Bylaws require the Club to do all in its power to protect and advance interest in the breed. Therefore the Sponsor’s responsibility is higher than ever. The Sponsor is required by the Bylaws to have had 24 months acquaintance with the prospective applicant(s) for individual, dual, and junior membership. The Sponsor is required by the Bylaws to have had 6 months acquaintance with the prospective applicant for associate membership. New applicants need to read, understand, and sign the NTCA Code of Ethics. By signing below, I am certifying that I am in good standing with NTCA. I understand that providing false or misleading information about the applicant may result in my expulsion from the NTCA.

Sponsor Signature*

Date*

Comments

Membership Sponsor Form

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