REQUEST TO UPDATE STUDENT IDENTITY

__________________________________________________ __________________

(Student’s current name on registration)                                      (Student ID)

Please update my student’s names, pronouns, and/or gender identities on my student’s registration paperwork to include all of the following:

__________________________________________________________________________________

(Names)

__________________________________________________________________________________

(Pronouns)

__________________________________________________________________________________

(Gender identities)

__________________________________                __________________

Parent/Guardian                                                          Date

Note:  Per Iowa Code § 279.78