Kanyen’keha:ka Membership Registry

Kanyen'keha:ka Membership Form

This form is to be used to register yourself as a member of the Kanyen'keha:ka Nation.

Your Onkwehon:we or "Indian" name *

Name *

Name

First

Middle

Last

Nickname

Date of Birth *

Preferred Phone *

Email *

Sex *

Marital Status *

Address *

Address

City

State/Province

Zip/Postal

Country

Address

Preferred Method of Contact *

Phone

OtherOther

Preferred Language to communicate in *

Other Fluent Languages

Emergency Contact Name *

Emergency Contact Name

First

Last

Emergency Contact Phone *

What clan mother or woman claimed you during your naming?

What date were you named, and where?

Which applies to you?

Born into the nation

Adopted as a child

Adopted as an adult

Honorary Adoption (Name hung around neck)

If your naming has not been made public yet, indicate the names of the witnesses

If you were adopted, what was the name, clan and title of the individual or family that adopted you?

Your Mother's Clan

Wakskarewake (Bear)

Wakenyahton (Turtle)

Wakathahonni (Wolf)

Mother's Clan Family Name (Title)

Tekarihoken

Ayonwatha

Satekariwateh

Sahrenhowaneh

Teyonhehkwenh

Orenrehkowah

Tehakarineh

Rastawehseronhtha

Sosskoharowaneh

Deleware / Lenape

I don't know

Your Father's Clan

Wakskarewake (Bear)

Wakenyahton (Turtle)

Wakathahonni (Wolf)

Father's Clan Family Name (Title)

Tekarihoken

Ayonwatha

Satekariwateh

Sahrenhowaneh

Teyonhehkwenh

Orenrehkowah

Tehakarineh

Rastawehseronhtha

Sosskoharowaneh

Deleware / Lenape

I don't know

Nation

Kanyen'keha:ka of the Six Nation (Bay of Quinte and Grand River)

Kanien'keha:ka (Iroquois) of the Seven Nations (Wendake, Odanak, Wôlinak, Pointe-du-Lac, Kahnawake, Kanesatake, Akwesasne, Kitigan Zibi, Ganiekeh, Wahta)

Lenape / Delaware

Ononya'tahaka / Oneida

Onontahaka / Onondaga

Kwayohkawahaka / Cayuga

Sohtenontowanen / Seneca

Skaroron / Tuscarora

OtherOther

Include any additional information that you would like to share here

If you are human, leave this field blank.