Membership Form

Step 1 of 5

Are you new or a Returning Member?*
Type of membership*
Herdname can be added at a later date for $10.00
Age of youth*
Family Members
Please list family members and ages of your children

Tell us a little about yourself
Membership #
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
Your herdname is what goes in front of the goat's name when registering, you have 35 spaces including the herdname.
Tattoo Initials
This is your herd ID. We can choose one on your behalf if you are uncertain.
Herdname 2nd choice
We will always use the first choice if available; however, please list a 2nd choice as an alternative.
2nd Tattoo Initial Choice

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

Would you like your membership information posted on the MDGA website?*
- Yes (Only the city and state will be listed.)
- No
Would you like your Phone number listed?
- Yes
- No
Which number(s)?
Would you like your website listed?
- Yes
- No
If you would like an email listed, please enter it below:
Section Break
How did you hear about MDGA?
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