American Dairy Goat Association  -   Application for Registration or Recordation
1.
Name
1st Choice
2nd Choice 		If name is not available, we will alter
unless you check here for return.
AI or ET Mating?
2. Name of Sire & his ADGA number (indicate if unknown or unregistered).
Reg # Name Leased?
3. Name of Dam & her ADGA number (indicate if unknown or unregistered).
Reg # Name Leased?
4. Breed
5. Color & Markings (Limited to 69 letters & spaces)

Conforms to which breed standard?
6. Sex -
7. Date of Birth   How many in birth? Bucks Does
8. Horn Information Ears
9. Tattoo(s)  
Additional tattoo information, ie. state code (optional) - please specify location
Electronic ID Chip Location Tail Base of Ear Shoulder Flank Dewclaw  Other
10.
Breeder -Name, address & ID # of owner of dam at date of service.

ID # 		  Breeder
Address
City, State & Zip

11.
Signature - I hereby certify to the truth & accuracy of the above
data. I offer this goat for entry in ADGA's Herd Register.
Signature
_____________________________ ID #
Address
City, State & Zip
12.
Transfer - On , I sold above goat to:
Signature of Seller
______________________________ ID #
ID #
Name of Purchaser
Address
City, State & Zip

13.
Fees Member
Postmarked		 Nonmember
Postmarked


Doe under 30 months
Doe 30 months or older
Buck under 24 months
Buck 24 months or older		 Sep 1 -
Mar 31
$ 7.50
11.00
13.50
26.00		 Apr 1 -
Aug 31
$ 8.50
12.00
14.50
27.00		 Sep 1 -
Mar 31
$14.00
21.00
26.00
51.00		 Apr 1 -
Aug 31
$15.00
22.00
27.00
52.00

Name or ID # of Person Submitting Application

Buck Registration Fee (includes performance pedigree)

Doe Registration/Recordation

4-Generation Performance Pedigree for Doe

Transfer

Rush Fee Enclosed
Donation - Promotion Research Scholarship 		$
$
$
$
$
$
VISA/MasterCard # Exp Date Name on Card