If you are a descended from one of the 26 Delaware
who remained in Kansas in 1866, you are PROBABLY Kansas Delaware.
If you wish to become a member of the Kansas Delaware tribe,
please complete the application below and mail to:

Carolyn Rowe
Tribal Roles and Membership
Kansas Delaware Tribe
5729 NW 70th Street, Topeka, KS 66618
ckrowe68@yahoo.com .
Kansas Delaware Membership Application
(PLEASE PRINT IN INK)
A copy of birth record must be submitted with application

ALL INFORMATION WILL REMAIN CONFIDENTIAL


______________________________________________
DATE OF APPLICATION


________________________________________________________________________________________________________
LAST NAME                                FIRST                                               MIDDLE                                       MAIDEN


DATE OF BIRTH     ______________________                    ____MALE                     ____FEMALE


________________________________________________________________________________________________________
MAILING ADDRESS (NUMBER, STREET, ROUTE, BOX)                  CITY                            STATE                     ZIP


PHONE NUMBER  (____)___________________________                   E-MAIL ____________________________________

Is applicant a member of any other tribe?    _____  Yes          ____ No       If yes, enter name of tribe____________________

Is applicant adopted? _____  Yes          _____  No                    

Ancestor on 1867 Roll ___________________________________________________________
                                                                
                                                    
(List your ancestors below beginning with Delaware great grandpartent, grandparent, parent, etc.)


















Membership application form is also available on the Kansas Delaware facebook page.





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