AHTCA Veterinarian Certification
American Hunt Terrier Club Association, INC.
607 Nichols Bluff Road Brantley, AL 36009
Phone: 334-527-3804 Email: renapcompton@yahoo.com
Fill out completely, print and mail to the AHTCA
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Terrier's Name: ___________________________________________________ Age: ____________
Owner's Name: ____________________________________________________________________
Address: _________________________________________________________________________
City: ________________________________________ State: _______ Postal Code: ____________
Phone Number: ___________________________ AHTCA Membership # ____________________
Chest Measurement: ______ inches: (at deepest part of the chest behind front legs)
Height at point of withers: __________ inches.
Length of back: ________ inches (measured from base of tail to point of withers)
Coat: [ ]Smooth [ ]Rough [ ]Broken
Teeth: [ ]Scissors Bite [ ]Level Bite [ ]Undershot [ ]Overshot [ ]Other (describe)
_______________________________________________________________________________
Nose: [ ] Fully Pigmented Black [ ] Liver colored nose [ ] Lacking Full Pigment
[ ] Other explain ____________________________________________________________
Eyes: [ ]Normal [ ]No (describe) __________________________________________________
Vision: [ ]Normal [ ]No (describe) ___________________________________________________
Iris: [ ]Brown [ ]Blue [ ]Yellow [ ]Other ______________________________________________
CERF #: ____________________________
Hearing: [ ]Normal [ ]No (describe) ________________________________________________
BAER #: ____________________________
Cardiovascular: [ ]Normal [ ]No (describe) _________________________________________
Testicles: [ ]Normal [ ]No (describe) ____ __________________________________________
Hernia: [ ]No [ ]Umbilical [ ]Iguinal [ ]Other (describe) ______ _______________________
Legs: [ ]Normal [ ]Sub-luxating Patella [ ]Luxating Patella, Grade _______ Other _______
(describe)______________________________________________________________
Feet: (all four toes touching the ground?) []Normal []No (describe) _________________
Surgical Scars (describe): _______________________________________________________
Temperament (toward a non-threatening person): [ ]Shy [ ]Normal [ ]Aggressive
Veterinarian's general opinion: Are there any reasons why this terrier cannot
function as a working dog or be used on the AHTCA breeding program?
_________________________________________________________________________________
_________________________________________________________________________________
Veterinarian's Signature: ____________________________________ Date: _________________
Address: _________________________________________________________________________
Phone: ___________________________________________________________________________