National Number
APPLICATION
FOR MEMBERSHIP TO THE NATIONAL SOCIETY
OF
THE
CHILDREN
OF THE AMERICAN REVOLUTION
WASHINGTON,
DC
Name of
Number
Street
City
State
Zip+4
DESCENDANT OF
The undersigned have investigated and approved the applicant and the application.
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President Local Society Senior President Local Society
Secretary Local Society Registrar Local Society
Application received by National Society , 20
Fees received by National Society , 20
Application examined and approved , 20
Senior National Registrar
Accepted by the Senior National Board of Management , 20
Senior National Recording Secretary
Endorsement for Membership at Large
Senior State President
Nominated and recommended by the undersigned two members of the DAR, SAR, or SR, or by one such and one C.A.R. member.
Name Name
When
filled out completely and properly endorsed, the application must be
forwarded to the Senior National Treasurer, N.S.C.A.R., 1776 D Street, NW,
Washington, DC 20006-5303, with the necessary fees and dues.
When approved by the Senior National Board of Management, a photocopy
will be returned to the Senior Society President, or to the individual if
joining At Large, and the original will be filed with the National Society.
LINEAGE
All dates must be given by day, month and year whenever possible, and given names must be stated in full.
years, hereby apply for membership in the Society by right of lineal descent in
who was born at on the day of , 17
The place of residence during the Revolution was
This ancestor assisted in establishing American Independence, while acting in the capacity of
State of on the day of in the year
died at on and his (first or ) wife
born on at
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died at on and his (first or ) wife
born on at
died at on married on at
4. The said was the child of
born on at
died at on and his (first or ) wife
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died at on married on at
5. The said was the child of
born on at
died at on and his (first or ) wife
born on at
died at on married on at
6. The said was the child of
born on at
died at on and his (first or ) wife
born on at
died at on married on at
7. The said was the child of
born on at
died at on and his (first or ) wife
born on at
died at on married on at
8. The said was the child of
born on at
died at on and his (first or ) wife
born on at
died at on married on at
9. The said was the child of
born on at
died at on and his (first or ) wife
born on at
died at on married on at
10. The said was the child of
born on at
died at on and his (first or ) wife
born on at
died at on married on at
11. The said was the child of
born on at
died at on and his (first or ) wife
born on at
died at on married on at
12. The said was the child of
born on at
died at on and his (first or ) wife
born on at
died at on married on at
13. The said was the child of
born on at
died at on and his (first or ) wife
born on at
died at on married on at
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ELIGIBILITY CLAUSE
Article III of the National Bylaws
Any child or youth under the age of twenty-one years is eligible for membership in The National Society of the Children of the American Revolution who is lineally descended from a man or woman who, with unfailing loyalty, rendered material aid to the cause of American Independence as a soldier, sailor, civil officer, or recognized patriot in one of the several Coloni