Online Registration

Are you a current member?*
- Yes
- No
Have you paid your 2020 Dues?*
****** IF you became a member Dec 1, 2019 - Dec 31, 2019, your 2019 dues HAVE been paid and are current.
- Yes
- No
Name of Goat - MUST INCLUDE HERDNAME*
Maximum of 35 characters
Description
Descriptions may be changed by registrar
Horns*
Ears
Level of Registration*
Breed*
Gender*
- Buck
- Doe
- Wether
Photos of Goat Being Registered*
Send pictures showing full side of body, head on of face, & profile of head EACH FILE MUST BE SMALLER THAN 8MB - MAX 3 FILES
Drop files here or

Did YOU OWN Sire at time of Breeding?*
- Yes
- No
Is the Sire MDGA registered?*
- Yes
- No
Please upload the sire's registration paper*
FILE MUST BE SMALLER THAN 8MB
Drop files here or
Sire's Full Name*
Sire's generation #
Sire's Registration #*
Owner of Sire at time of breeding*
First Last
Service Memo*
Please attach the service memo for this sire

Did YOU OWN Dam at time of Breeding?*
- Yes
- No
Is the Dam MDGA registered?*
- Yes
- No
Please upload the dam's registration paper*
FILE MUST BE SMALLER THAN 8MB
Drop files here or
Dam's Full Name*
Dam's generation #
Dam's Registration #*
Owner of Dam at time of breeding*
First Last
Was the Dam sold Bred?*
Was the doe pregnant when YOU bought her?
- Yes
- No
Was the Dam Leased?*
- Yes
- No
Lease Agreement*
Please attach the lease agreement form for this dam

Does your animal have a microchip?*
- Yes
- No
Microchip #*
Type of Tattoo*
- Ears
- Tail
Right Ear Tattoo*
Breeder's tattoo of where animal was BORN
Left Ear Tattoo*
tattoo LETTER of the year the animal was BORN and # of sequence in birth
(Example for 2020: M13)
Where is the tail tattoo located?*
- Center
- Tail Web
Center Tail Tattoo*
Breeder's tattoo of where animal was BORN + tattoo LETTER of year and # sequence in birth
Tail Tattoo Right*
Breeder's tattoo of where animal was BORN
Tail Web Left*
tattoo LETTER of the year the animal was BORN and # of sequence in birth
(Example for 2020: M13)

Breeder Name*
Who was the owner at time of BREEDING
First Last
Breeder Address*
Street Address City State / Province / Region ZIP / Postal Code
Breeder Email*
Breeder Phone
Name*
Who's property was the animal BORN on
First Last
Address*
City State / Province / Region

Was this animal sold?*
- yes
- no
Date Sold*
Date Format: MM slash DD slash YYYY
Buyer's Name*
First Last
Buyer Address*
Street Address City State / Province / Region ZIP / Postal Code
Buyer Email*
Buyer Phone
Send certificate to new owner?*
Bill of Sale*
Please scan in and attach your BILL OF SALE (this can be the original application that the breeder provided to you but it MUST have the seller's signature on it)

Person filling out form*
First Last
YOUR Membership #
*
ALL INFORMATION PROVIDED ON THIS APPLICATION IS ACCURATE AND COMPLETE, TO THE BEST OF MY KNOWLEDGE.
Email*
of person submitting application