Become a Member

Membership is for individuals who meet a variety of requirements documenting their ancestry as a MOWA Choctaw Native American. Applications are available for adult members and their children.

Mandatory Checklist:

Copy of Driver’s License or an Official Picture ID
Pedigree Chart
$25 Application Fee (Check or Money Order Only)
Official Copy of Birth Certificate

Optional If Needed:

Additional Documentation of Bloodline (examples include Court Records, Affidavits, DNA /Blood Tests, School Records, etc.)

Member Benefits:

INSERT BENEFITS, PROGRAMS, ETC….

Applicant Name

First Middle Last

First Name

Last Name

Applicant Phone

(###)

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####

Alternative Phone Number

(###)

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####

Applicant Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Applicant Email

Marital Status

Single

Married

Divorced

Legally Separated

Widow

Parent Information

Father's Name

First Middle Last

First Name

Last Name

Father's D.O.B

MM

DD

YYYY

Father's Place of Birth

Father's Tribal Roll Number

Mother'sName

First Middle Last (Maidan Name)

First Name

Last Name

Mother's D.O.B.

MM

DD

YYYY

Mother's Place of Birth

Mother's Tribal Roll Number

Spousal Information

Spouse Name

First Middle Last (Maiden)

First Name

Last Name

Spouse D.O.B.

MM

DD

YYYY

Spouse Phone

(###)

###

####

Spouse Tribal Roll Number

Children's Information

Child Name # 1

First Middle Last

First Name

Last Name

Child #1 D.O.B

MM

DD

YYYY

Child #1 Place of Birth

First Middle Last

First Name

Last Name

Child # 1 Tribal Roll Number

First Middle Last

First Name

Last Name

Child Name # 2

First Middle Last

First Name

Last Name

Child #2 D.O.B

MM

DD

YYYY

Child #2 Place of Birth

First Middle Last

First Name

Last Name

Child # 2 Tribal Roll Number

First Middle Last

First Name

Last Name

Child Name # 3

First Middle Last

First Name

Last Name

Child #3 D.O.B

MM

DD

YYYY

Child #3 Place of Birth

First Middle Last

First Name

Last Name

Child # 3 Tribal Roll Number

First Middle Last

First Name

Last Name

Child Name # 4

First Middle Last

First Name

Last Name

Child #4 D.O.B

MM

DD

YYYY

Child #4 Place of Birth

First Middle Last

First Name

Last Name

Child # 4 Tribal Roll Number

First Middle Last

First Name

Last Name

Become a Member

Member Benefits:

MOWA Choctaw Indians

Alabama’s First State Recognized Tribe

Hours

Location

Contact