Citizen enrollment form & oath of loyalty

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Last Name (provide Maiden Name in Parentheses)

First Name and Middle Name

Phone (area code xxx) xxx-xxxx

Mailing Address (street or post office box, city, state, ZIP, country)

Residential Address (street, city, state, ZIP, island, country)

Your household (Please check any that apply)

I am the head of the household

Two or more adults are in the household

Fewer than 5 people in the household are minor children

Five or more people in the household are minor children

Your age

I attest to meet the definition of Hawaiian as defined in the Ka Lāhui Hawaiʻi Constitution as "any individual whose ancestors were native to the area which comprised the Hawaiian Islands prior to 1778."(required)

Yes

No (You may be an honorary citizen but without voting privileges.)

Citizen Oath of Loyalty: "I do solemnly affirm that I will advocate and support and defend the Constitution of Ka Lāhui Hawaiʻi to all emissaries, foreign and domestic; that I will bear truth, faith and allegiance to the same; that I take this obligation freely; and that I will uphold the laws of Ka Lāhui Hawaiʻi."(required)

Yes

Today's Date

The three documents — "Constitution of Ka Lāhui Hawaiʻi," "A Compilation of Materials for Education Workshops on Ka Lāhui Hawaiʻi," and "Hoʻokupu a Ka Lāhui Hawaiʻi" the Ka Lāhui Master Plan for Hawaiian Sovereignty — are copyrighted by Mililani B. Trask on behalf of Ka Lāhui Hawaiʻi. Persons or groups wanting to use these materials, including the Constitution and Master Plan must first obtain the written permission of Mililani B. Trask and a Licensing Agreement. Ka Lāhui Hawaiʻi has trained citizens who can conduct training for the community with these materials and who can assist with community workshops using these documents. Ka Lāhui Hawaii/Mililani B. Trask does not give permission for use of these documents and materials, in whole or in part, for any purpose except for uses approved in writing and subject to a Licensing Agreement as stated above. Posted by Mililani B. Trask Email mililani.trask@icllchawaii.com

Ka Lahui Hawaii