Application for Membership of the Bluestone Division

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I hereby apply for admission into the Ancient Order of Hibernians in America, Inc., and agree that my reception and continuance in said Order shall depend on the truthfulness of my answers to the questions which are hereto attached.

TO BE A MEMBER YOU MUST BE A MALE OVER THE AGE OF 16, PRACTICING CATHOLIC AND BE OF IRISH HERITAGE BY BIRTH, DESCENT OR BE LEGALLY ADOPTED BY SUCH A PERSON AND BE OF GOOD MORAL CHARACTER. (Clergy do not need to be of Irish Ancestry)

To join the Ladies' AOH: https://ladiesaoh.com/membership/

First Name *

Last Name *

Address (Street, City, State, and Zip Code) *

Phone Number *

Email *

Email (please confirm) *

Date of Birth *

YYYY

Irish by... *

Birth

Descent

Adoption

I am in the Clergy

Mother's Maiden Name *

Are You Catholic? *

I am Roman Catholic

I am in a Catholic Rite recognized by the Pope

I am not Catholic

Name of Your Parish *

Have you complied with your religious duties within the past 12 months?
*

Yes

Do you belong to any Society to which the Catholic Church is opposed?
*

Yes

Were you ever previously a member of the Ancient Order of Hibernians? *

Yes

Are you a Veteran? *

Yes

I am on active duty

I do solemnly pledge my sacred word and honor that my answers to the above questions are true.
*

Yes

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