Name: 

Phone:

Street:

City:    State:    Zip:  

County:         Cell:

Business Name:  

Website:

How did you hear about KMGA?  selectKMGA memberWebsiteFriend4-HShow or FlyerPaper or Ad

What or Whom:

Do you have children who might be interested in KYMGA (youth)?

  Yes       No      Need more info.

Children's ages? 3-6   7-9  10-13  14-19       

How many children? selectNone1234567               Are children in 4-H?  Yes    No

Is there currently a Meat Goat Project in your county? Yes    No                           How many years? 01234567

Would you like help with starting a Meat Goat Project in your county?   Yes    No

Do you currently have goats?   Yes    No        How many in your herd?  selectNone1-1011-2021-3031-4041-5051-60Alot

Are you a breeder?  Yes    No

What is your primary breed of goat? selectBoerNubianKikoLa ManchaNone          

Crossed with?  selectBoerNubianSaanen/KikoLa ManchaSpanish

Is your stock primarily full blood? Yes    No             

Commercial Stock/Percentage  Yes    No

Show Stock                             Yes    No

Registered Stock                      Yes    No

How do you primarily reduce your stock? 

Private sale     Sale Barn     4-H     Other

Yearly $25 dues included?   Yes     No          Check #

Important: Please be aware that KMGA is trying to utilize the internet as the most timely & cost effective method to keep our members informed. We currently utilize the internet to distribute any/all correspondence to members with internet access. Those who do not have email or internet access will continue to receive all correspondence via US Mail service.  

Do you have a computer?  Yes   No        Internet access?  Yes     No

May we submit monthly minutes, flyers, & other association related correspondence to you by email?            

Yes   No            Email Address:

KMGA encourages all members to be an active part this Association. A strong organization requires member involvement.

In what way/ways would you like to be involved?  Some examples might be: Committee Chair, Speaker, Professional  - examples: nutritionist, veterinary medicine/management, etc.

Please indicate in the space provided below.

Any additional Questions or Comments you may have for the Association,  Please indicate in the space provided below.