Stud owner to fill out completely, print, sign, and mail to the AHTCA


This is to certify the Bitch:
REGISTERED NAME: ________________________________________________________________
AHTCA REGISTRATION NUMBER: _______________________
OWNED BY.....
NAME: ____________________________________________________________________________

ADDRESS: _________________________________________________________________________

CITY: _____________________________________________________________________________

STATE: _____________________ ZIP: _____________________ COUNTRY: ___________________

Was bred to my Stud Dog:
REGISTERED NAME: ________________________________________________________________
AHTCA REGISTRATION NUMBER: _______________________
If the Hunt Terrier is not AHTCA registered
please enclose a picture of the stud along with a copy of his pedigree.
OWNED BY.....
NAME: ____________________________________________________________________________

ADDRESS: _________________________________________________________________________

CITY: _____________________________________________________________________________

STATE: _____________________  ZIP: _____________________ COUNTRY: ___________________

DATE(S) BRED:
__________________________________________________________________________________
Are either the Sire or Dam Registered with any other organizations? If so, please give name
of organization and registration number:
__________________________________________________________________________________

As the owner(s) of the Stud, I (we) hereby certify this information to be true.

Signed: ____________________________________________________ Date: _________________

Signed: ____________________________________________________ Date: _________________



           Home of the Hunt Terrier also known as the black and tan Jack Russell Terrier
AHTCA Stud Service
American Hunt Terrier Club Association, INC.
13288 Bean Rd.  Alexander, AR  72002
%Karen Adams
Phone: 501-607-4455    Email ahtcalady@gmail.com
Please use your browsers print button, fill out completely
and mail to the AHTCA