Stud Dog Listing Form

Member Name*

First Last

Email Address

Phone Number

Stud Dog Directory Listing

Breeder directory listing not required to advertise a stud dog. To list a stud dog you must be a NTCA member for at least 36 consecutive months. No dog is to be listed unless he is currently owned or co-owned by that member. Health Testing – If listed, certification numbers must be provided and must be already posted on the OFA website. CHIC number is sufficient for hips, patella and eyes.

This is a :*

New stud dog listing
Existing listing with changes
Existing listing with no changes

Stud Dog Listing*

Please list the following: 1. AKC Registered Name 2. AKC Registration Number 3. Sire Name 4. Dam Name

Health Testing Information (optional)

Please list the following: 1. CHIC # OR 2. OFA # for hip, eyes, or patella exam OR 3. PENN Hip #

NTUAS Score (optional)

If you wish to list stud dog NTUAS score, use this text box and/or the file drop box to provide all requested information. The Directory coordinator may require further documentation if necessary. 1. NTUAS exam score (must use the NTUAS Upper Airway Exam Scoring Sheet) 2. Date of the examination 3. Name and address of the veterinarian who performed the examination 4. Identification of the dog with AKC registration number, which the owner can note on the score sheet.

NTUAS Documentation Upload

Max. file size: 50 MB.

If you wish to have a photo with this stud dog listing, upload JPG photo

Max. file size: 50 MB.

Do you wish to list another stud dog?*

NO
YES

This is a :*

New stud dog listing
Existing listing with changes
Existing listing with no changes

Stud Dog Listing*

Please list the following: 1. AKC Registered Name 2. AKC Registration Number 3. Sire Name 4. Dam Name

Health Testing Information (optional)

Please list the following: 1. CHIC # OR 2. OFA # for hip, eyes, or patella exam OR 3. PENN Hip #

NTUAS Score (optional)

If you wish to list stud dog NTUAS score, use this text box and/or the file drop box to provide all requested information. The Directory coordinator may require further documentation if necessary. 1. NTUAS exam score (must use the NTUAS Upper Airway Exam Scoring Sheet) 2. Date of the examination 3. Name and address of the veterinarian who performed the examination 4. Identification of the dog with AKC registration number, which the owner can note on the score sheet.

NTUAS Documentation Upload

Max. file size: 50 MB.

If you wish to have a photo with your stud dog listing, upload JPG photo

Max. file size: 50 MB.

Do you wish to list another stud dog?*

NO
YES

This is a :*

New stud dog listing
Existing listing with changes
Existing listing with no changes

Stud Dog Listing*

Please list the following: 1. AKC Registered Name 2. AKC Registration Number 3. Sire Name 4. Dam Name

Health Testing Information (optional)

Please list the following: 1. CHIC # OR 2. OFA # for hip, eyes, or patella exam OR 3. PENN Hip #

NTUAS Score (optional)

If you wish to list stud dog NTUAS score, use this text box and/or the file drop box to provide all requested information. The Directory coordinator may require further documentation if necessary. 1. NTUAS exam score (must use the NTUAS Upper Airway Exam Scoring Sheet) 2. Date of the examination 3. Name and address of the veterinarian who performed the examination 4. Identification of the dog with AKC registration number, which the owner can note on the score sheet.

NTUAS Documentation Upload

Max. file size: 50 MB.

If you wish to have a photo with your stud dog listing, upload JPG photo

Max. file size: 50 MB.

Disputes between breeders and purchasers shall be resolved amongst themselves. The NTCA shall not be a party to such disputes, other than as provided in the NTCA Code of Ethics.

I certify that the above information is correct and in compliance with the preceding statements.

Signature*

Date*

Comments

Norwich Terrier Club of America Stud Dog Listing (Info)

Stud Dog Directory Listing

Title