KYDGA Registration Form

KYDGA Registration Form
Member Details:
Full Name*

First NameLast Name
Farm Name*
Address*

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Phone Number*
E-mail*
example@example.com
Membership Information:
Membership Type:*

Individual- $20 (1 vote)Family- $30 (2 votes)Junior- $5 (21 or under, no vote)
If selecting a Family Membership, please list all family members included. If selecting a Junior Membership, please list the junior member’s name(s).
What contact information (if any) would you like listed on KYDGA's member directory?*

Phone number (text only)Phone numberEmailNone
May we list your city on our membership directory?*

YesNo
Please list any websites or social media links you would like listed on the member directory:
What breed(s) of dairy goat do you raise?
Do you offer any services you would like listed on the member directory?
What types of programs would you participate in or like to see KYDGA offer?
Please send all membership fees via Venmo or Paypal.

We kindly ask that you use the Friends and Family option when sending payment to avoid fees.

Paypal: @KYDGA
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