Club Membership Registration Form

Membership Registration

Complete the form below to sign up or renew your CCGA membership.

Please note your street address, phone number, and email address will not be published on our club website unless you check mark the box to publish it publicly.

Membership page can be view at https://ccgoatassociation.wixsite.com/home/members

Name*

First NameLast Name

Other family member names to add

Herd/Farm Name*

E-mail*

Publish my email address on the CCGA website

Phone Number:*

Area CodePhone Number

Publish my phone number on the CCGA website

Address:*

Street Address

Street Address Line 2

CityState

Zip Code

What breed(s) of goats do you own?

Farm website

www.example.com

Farm Facebook Page

example: www.facebook.com/CCGoatA

Farm Instagram Page

Please provide links for any other farm social media pages you would like us to list

Do you offer stud service?*

YesNo

What other goat related service(s) do you offer?

Example: goat milk soap, cheese, hoof trims, disbudding, castration, etc.

Upload your herd/farm logo

How will you be paying for your CCGA membership?*

Cash at a in-person meeting or eventBy check, please send me the address to mail a checkCredit Card via Anara Farm at https://anara.farm/product/ccga-membership/PayPal $15.46 (includes fee) to ccgoatassociation@gmail.com