This Form Is For Individuals of Nipmuc Descent To Enroll To Become A Member Of The Nipmuc Nation Tribal Roll And Thereby A Citizen Of Nipmuc Nation.

All Applicants Must Be Over 18 Years Of Age.

An Applicant Can Enroll Themselves And Any Child Under 18 Years Of Age.

PLEASE NOTE, Your Information And Privacy Matters!  All Information Submitted Via This Form Is The Sole Property Of The Nipmuc Nation Tribal Council Inc. And Will NOT Be Used For Any Other Purpose Than To Determine Enrollment To The Nipmuc Nation Tribal Roll.