American Medaka Association
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Name
*
Email
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City & State
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Instagram (Required)
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If you don’t have an account, please type ‘N/A’.
Discord username (Required)
*
If you don’t have an account, please type ‘N/A’.
Website (Optional)
How long have you been keeping medaka? (Required)
*
What strain(s) do you primarily breed? Please list up to 5 strains. (Required)
*
Tell us briefly why you’d like to join AMA: (Required)
*
Would you like your profile to be published on the AMA website if your membership is approved? (Required)
*
Yes
No
If you provided your Instagram ID, would you like to be added to our group chat? (Required)
*
Yes
No
I agree to uphold the AMA core mission. I understand that violating our core principles may result in removal from membership. (REQUIRED)
*
Agree
long AMA: I
I confirm that I am 18 years of age or older. (REQUIRED)
*
Yes
Submit
Please enable JavaScript in your browser to complete this form.
Please enable JavaScript in your browser to complete this form.
Name
*
Email
*
City & State
*
Instagram (Required)
*
If you don’t have an account, please type ‘N/A’.
Discord username (Required)
*
If you don’t have an account, please type ‘N/A’.
Website (Optional)
How long have you been keeping medaka? (Required)
*
in long I
What strain(s) do you primarily breed? Please list up to 5 strains. (Required)
*
Tell us briefly why you’d like to join AMA: (Required)
*
Would you like your profile to be published on the AMA website if your membership is approved? (Required)
*
Yes
No
If you provided your Instagram ID, would you like to be added to our group chat? (Required)
*
Yes
No
I agree to uphold the AMA core mission. I understand that violating our core principles may result in removal from membership. (REQUIRED)
*
Agree
I confirm that I am 18 years of age or older. (REQUIRED)
*
Yes
Submit
