MDGA Registration Form

Level of registration:   
Does the Animal Conform to breed standards:

Breed:   Sex:

Number of Kids in litter:   Bucks:   Does:

Date of Birth:   20

Tattoo:  Right:   Left:   Center:   Microchip:

Name:(limited to 35 characters including herdname)


Sire:   Reg#:
Owner:   check one:

Sire's Sire: Reg#:

Sire's Dam: Reg#:

Dam:   Reg#:
Owner:   Leased:

Dam's Sire: Reg#:
Dam's Dam: Reg#:


Horns:   Ears:

Breeder: Membership #:
Owner of goat:

This animal was born on the property of:

This animal was sold to:   Membership #:   Date sold:

Address of Buyer:     Send certificate to new owner?

Seller Signature: ________________________________________________________________________

Person submitting application:
Email:   Phone:


To send picture attach two pictures, one of head and one side body, to this is
 Be sure to give your name and goats name in body of e-mail.
When finished sending all the information then:

Go to the PayPal page to pay

Don't forget to send in breeding memo, original form from buyer and pictures

Or print off this form and send it along with your check or money order to:

For Mini- Nubian, Mini-Saanen, Mini-Toggenburg
send paperwork to:

For Mini-Alpine, Mini-Guernsey, Mini-LaMancha,
 Mini-Oberhasli and Nigerian Dwarf
Send paperwork to:

Jacqui Wilcox, Registrar
Pox 1534
Woodland, WA  98674

Shelley Weber
10613 S 2058 PR SE
Kennewick, WA  99337