Rat Terrier Club of America

APPLICATION FOR RTCA MEMBERSHIP

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(Please print)

• (By filling out this form, applicant agrees to abide by the RTCA Constitution and Bylaws, the rules of the AKC and sign the RTCA Code of Ethics and return it with this form.)
• ___________________________________________________________________ JR Member: Y/N
  Name: Second Member:
  
  _________________________________________________________________________________________
  Address:
  
  _________________________________________________________________________________________
  City:
  
  _________________________________________________________________________________________
  State: Zip:
  
  _________________________________________________________________________________________
  Phone: FAX:
  
  _________________________________________________________________________________________
  Email address:
  
  _________________________________________________________________________________________
  Occupation:
  
  Names of 2 RTCA Members who endorse applicant: 1)_________________________ 2)_________________________
  
  Are you an RT Breeder? Y/N (
  
  Name of Kennel:________________________________________
  
  Are you an RT Exhibitor? Y/N (Someone who has handled an RT in an AKC event within the last two years.)
  
  Are you an RT Owner? Y/N (Someone who is not actively breeding or exhibiting, but owns an AKC registered RT.)
  
  Are you an AKC Licensed Judge? Y/N If yes, which categories and breeds? __________________________
  
  List all Registries dog is registered with: ______________________________________
• (Please enclose copies of registration & pedigree (if available) for all new memberships or renewals with new dogs.)
• 
  _______________________________________________________
  Dog's Registered Name & Reg. Number:
  
  _______________________________________________________
  Sire's Registered Name & Reg. Number:
  
  _______________________________________________________
  Dam's Registered Name & Reg. Number:
  
  Male/Female Date Whelped:____________ Spayed/Neutered? Y/N Height@wither____" Weight____#
  
  Dog's color:_______Amount of White:____% Tan trim? Y/N Speckling/Ticking? Y/N Eye Color:______Nose Color:_____
  
  EARS: Erect/Tipped/Button/One of each TAIL is: Docked/Natural/Bobtail Short Legged? Y/N
• Membership Dues are $25 per calendar year, expiring 12/31, and must be included with this form. Applicants must be approved by the RTCA Board of Directors before membership is valid. You don't have to own a Rat Terrier to become an RTCA member. Please send your dues, forms and any questions to the address below. You will receive a membership card after your membership is approved. You can contact us by email at RTCA and please put Rat Terrier or RTCA in the subject line, or call Jo Draper at (209) 846-2201 evenings or weekends (PST).

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CODE OF ETHICS
of the Rat Terrier Club of America Must accompany membership form

• ----------------------------detach here, sign and return with dues----------------------------
• ACKNOWLEDGMENT and AGREEMENT: I the undersigned, acknowledge and agree that membership in the RTCA is a privilege—not a right, and that violations of this Code may result in disciplinary action up to and including my expulsion from the Club, consistent with the Club's By-Laws. As a condition of membership in the Rat Terrier Club of America, I hereby acknowledge that I have read, understand and agree to this Code of Ethics. I accept this Code in its entirety, and I agree to be bound by it.
• Signed: ____________________________________Date______________________
• Do you wish to be listed in the membership directory ___Yes ___No
• How do you want to be listed? ________________________________________
• Print Name____________________________________________________________
• Address_____________________________________City______________________
• State_____Zip_________Phone_______________Email________________________
• All new applications must have 2 RTCA member endorsements and are subject to board approval.
• 1)______________________________________2)__________________________________

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