503.07E2 REQUEST TO UPDATE STUDENT IDENTITY

Board Policy:  503.7E2

TIPTON COMMUNITY SCHOOL DISTRICT

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

Approved:  08/14/2023           Reviewed:  ______________              Revised:  ___________