Application for Registration or Recordation
AMERICAN DAIRY GOAT ASSOCIATION
209 West Main Street P.O. Box 865 Spindale NC 28160 (704) 286-3801 Fax (704) 287-0476 / It is important that all blanks be properly and legibly com-pleted.1 / NAME
If name is not available we will alter unless you check here for return
Artificial Insemination Mating?Yes No / 1.Name must be confined to 30 letters and spaces and must begin with the breeder's herd name, if any. Name cannot be changed once registered. (See Section b, on reverse side)
2 / NAME OF SIRE and his ADGA number (indicate if unknown or not registered). / 2.The official ownership of the sire and that of the dam are not identical on the date of breeding, a service memo must be attached. (See rule 2, section A on the reverse side)
3 / NAME OF DAM and her ADGA number (indicate if unknown or not registered). / 3.If person making application for registry purchased the dam as a bred doe, a service memo must be obtained from the owner of the sire and attached to the application. Dam must be officially transferred before kid may be registered. (See rule 2, section A on the reverse side)
4 /
BREED
/ 4.See Rule 1 and Rule 9, section A and Rules 1 through 3 and 7, Section D5 / COLOR AND MARKINGS. (Limited to 69 letters and spaces)
Conforms to Breed Standards?Yes No / 5.Be accurate but make description as short as possible. For Toggenburgs indicate shade of brown and color or correct markings. For Oberhaslis indicate shade of bay.
6 / SEXBuck Doe / 6.Which sex please!
7 /
DATE OF BIRTH Number in birth?
Month: JanuaryFebuaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecemberDay: Year:Bucks Does / 7.Be sure the date given is correct. Also record the number of kids of each sex in the birth.8 / HORN INFORMATION:Polled
Disbudded Dehorned Horns / EARS:Gopher Elf
Erect Airplane Pendulous / 8.If goat is born without horns, the term is Polled.
9 /
TATTOO
Right earRight tail webLeft earLeft tail web
Center tail web / LEFTRIGHT
EAREAR / 9.Animal must be tattooed. If the application indi-cated a tattoo which is not actual on the animal, the certificate of registry becomes voidable. A limit of four letters and/or numbers are allowed in each of two locations. (see tattooing section on reverse side)
10 / Name, address and ID# of owner of dam at date of service. / ID#
(BREEDER) / 10.The “breeder” is the owner of the animal’s dam on the date the animal was conceived (See rule 4, section A on reverse side.)
11 / SIGNATURE: I hereby certify to the truth and accuracy of the above data. I offer this goat for entry into the Herd Register of the American Dairy Goat Association.
SignatureID#
Address
CityStateZip / 11.If the dam was purchased as a bred doe, the owner of the animal being presented for registration/recor-dation must sign item #11 and submit a service memo. Otherwise, the applicant must sign item #11
12 /
TRANSFER
I have on JanuaryFebuaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember(M) (D) (Y), sold above described goat to:Name of purchaserID#
Address
CityStateZip
Signature of sellerID# / 12.This item is used only when the animal being reg-istered is being transferred to another ownership. Do not use this space unless you wish to transfer the animal to a new owner. The appropriate fee for transfer must be enclosed.
13 / FEES (See right column)
Buck Registration Fee (includes performance pedigree)...... $0.00
Doe Registration/recordation...... $0.00
4-Generation Performance Pedigree for Doe...... $0.00
Transfer (if any)...... $0.00
Special Handling (if applicable)...... $0.00
Donation (50¢ or more):...... $0.00
Visa/MasterCardExpiration Date
Signature / 13.MemberNon-Member
Doe under 30 months $6.50 $13.00
Doe 30 mo. or older 10.00 20.00
Buck under 24 months 12.00 25.00
Buck 24 mo. or older 25.00 50.00
Performance pedigree for doe if requested at time of registration/recordation for members, $3, non-member $5. Transfer of ownership $3.50 when it involves an ADGA member, $15.50 when between non-members. Special handling fee is 100% of the registration fee and will apply if registration certificate is requested to be returned postmarked from ADGA 14 days or less from the sender’s postmark date. Box must be checked if special handling is desired.
Specify date needed: ______