PARSON RUSSELL TERRIER ASSOCIATION OF AMERICA, INC.
Membership Application

The application process may take 4-6 months, depending on the date of application. Your name must be published twice in the Club’s publications, Parson’s Nook and/or Parson’s Page, prior to the Board’s vote on your application. Membership fee must accompany this application. Please mail membership fee and completed application to: Peggy Crane, PRTAA Secretary, 4129 Keefer Road, Chico, CA 95973

PLEASE PRINT LEGIBLY

MEMBERSHIP FEE: Single (must be aged 18 or over) ($25.00) ____ Household ($40.00) ____

NAME(S)__________________________________________________________________________________
ADDRESS__________________________________________________________________ ZIP____________
PHONE_(_____)_______________ EMAIL _______________________OCCUPATION___________________
YOUR PRIMARY INTEREST IN DOGS: SHOW_________COMPANION_________
PERFORMANCE (specify)_____________________________________________________________
OTHER (specify)_________________________________________
BREEDS PRESENTLY OWNED: Parson Russell Terrier_____________How Many__________________
Other Breeds (Specify Breed(s) and How Many)______________________________
HAVE YOU BRED ANY PARSON RUSSELL LITTERS?____________HOW MANY________________
OTHER BREED(s)? (Specify Breed and How Many)________________________
DO YOU BELONG TO OR HAVE YOU BELONGED TO ANY OTHER KENNEL OR SPECIALTY CLUBS?____
IF SO, LIST NAME(S) OF CLUBS, OFFICES HELD & DATES, AND REASON FOR LEAVING IF NO LONGER
A MEMBER:_______________________________________________________________________________
__________________________________________________________________________________________
HAVE YOU EVER BEEN SUSPENDED FROM AKC/PRTAA/JRTAA PRIVILEGES?___________________
IF SO, WHY?(LIST DATE AND REASON FOR SUSPENSION)_______________________________________
__________________________________________________________________________________________
ARE YOU PRESENTLY IN GOOD STANDING WITH THE AKC/PRTAA?____________________
IF NOT, WHY?_____________________________________________________________________________
__________________________________________________________________________________________

IF GRANTED MEMBERSHIP IN THE PARSON RUSSELL TERRIER ASSOCIATION OF AMERICA, I (WE) AGREE TO:

  1. Accept the Standard of the Breed as approved by the American Kennel Club and the PRTAA as the only standard by which the Parson Russell Terrier should be judged.
  2. Encourage and promote responsible breeding of purebred Parson Russell Terriers; and protect the breed by never selling puppies or adult dogs to commercial outlets or in litter lots.
  3. Advance the interests of the breed by practicing and encouraging sportsmanlike behavior.
  4. Support and abide by the Constitution and Bylaws, and Code of Ethics of the Parson Russell Terrier Association, and by the rules of the American Kennel Club.

I understand that failure to comply with these rules will result in my suspension and possible expulsion. Any false information or omission with the intent to deceive the PRTAA or its membership will result in an invalidation of membership and/or a withdrawal of application.

SIGNATURE : Applicant(s) _________________________________________Date______________

_________________________________________Date______________

PRTAA/SLT/11-04 (Internet version 1)    END OF PAGE 1    SEE PAGE 2