SONS AND DAUGHTERS
OF
PEARL HARBOR SURVIVORS, INC.

INSTRUCTIONS for filling out the LINEAGE Membership Application FORM

  • Use this form for Lineal Membership or Minor Lineal Membership, under the age of 18 (blood line as a son, daughter or grandchild) and for Collateral Membership (blood line as a nephew or niece), and for Associate Membership (step-son, step-daughter, step-grandson, step-granddaughter).Do not use this form for SDPHS spouse, PHSA member, or PHSA spouse.
  • List your complete name, including middle name. Married women should include their maiden name.
  • List complete places and dates whenever possible. Use the three-letter abbreviation for the months, rather than a number (for example, 7 Dec 1941.)
  • Fill out each generation back to the Pearl Harbor survivor.

    • A. Circle whether the relationship to the Pearl Harbor survivor is lineal (L), step-child (S), or adoption (A).
    • B. Check to indicate son or daughter.
    • C. For the next generation, repeat the name of the parent in the direct line after “The said” and indicate the relationship son or daughter or brother or sister or step-son or step-daughter.
    • D. Last generation to include is the Pearl Harbor survivor. If more than one generation qualifies, include information on both generations.
  • Attach photocopies of documents to your application:

    • A. Copy of Pearl Harbor survivor’s PHSA membership card or a copy of DD-214 form or other proof of service on December 7, 1941.
    • B. Lineage proof needed for all relationships:
      • 1. Birth certificates for you and each direct line ancestor to Pearl Harbor survivor.
      • 2. If step-child, also include proof of marriage of blood parent to Pearl Harbor survivor or to SDPHS member.
      • 3. If adopted, also include adoption papers showing your relationship to the Pearl Harbor survivor if your birth certificate has not been amended to reflect the adoption.
      • 4. If name is changed from birth certificate, provide proof of change (i.e. marriage certificate.)
      • 5. If niece or nephew, include birth certificates of both the sibling (brother or sister) and survivor proving common parentage.

SIGN AND DATE THE APPLICATION ON THE LAST PAGE

Contact the National Registrar if you have any questions.
Linda Hooks (419) 526-0079 or [email protected]

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MEMBERSHIP APPLICATION FEE

“PEARL HARBOR – DECEMBER 7, 1941 – LEST WE FORGET”

Lineal and Collateral: $40.00 Minor Lineal (under 18 yrs.): $10.00
(Includes Application Fee, Dues, and SDPHS National Newsletter for one year)

ANNUAL DUES PERIOD: December 7 to December 6 of the following year.

MAKE ALL CHECKS PAYABLE TO: SDPHS, Inc.

RETURN COMPLETED APPLICATION WITH MEMBERSHIP FEE TO:
SDPHS, Inc.
1414 Woodville Road
Mansfield, OH 44903-9478

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