Membership Form

Are you new or a Returning Member?*
Type of membership*
If you don't have a herdname and are wanting to register one, add $10 to membership price. (excludes Lifetime membership which includes herdname)
Age of youth*
Family Members
Please list family members and ages of your children

Tell us a little about yourself
Membership #
this field is for previous MDGA members, if you are a new member you will leave this field blank and we will assign you a number
Name
First Last
Address*
Street Address City State / Province / Region ZIP / Postal Code
Home Phone
Cell Phone
Email*
Website

Now let's get some info about your farm
Farm Name
Desired Herdname
herdname is what goes in front of your goats name when registering, you have 35 spaces including the herdname
Herdname 2nd choice
We will always use the first choice if it is available, but just in case your first request is already registered, what would be your 2nd choice?
Tattoo Initials
this is your herd ID, if you do not have one or are not sure what this is for, don't worry, we can assign one to you
2nd Tattoo Initial Choice
We will always use the first choice if it is available, but just in case your first request is already registered, what would be your 2nd tattoo choice?

Tell us about your goats
Breed of Goats you currently raise...
(Example: Mini-Alpine Mini-Nubian, LaMancha, Nigerian Dwarf)

How did you hear about MDGA?
Comments
Would you like your membership information posted on the MDGA website?*
- Yes
- No
Do you want your whole address listed on the website or just City and State?*
Would you like your Phone number listed?
- Yes
- No
Which number(s)?

Tell us a little about yourself