Youth Legal Name and Gender Marker Workshop RSVP

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This information will help us make the packet of forms that you need. We understand that some of this information may be sensitive. All information in this form will be kept confidential, only shared with the workshop facilitator and essential TDC staff. The more information you give us the better we can help you.

Youths Chosen Name *

Youths email *

Parent or Guardians email *

Are you under 18 or are you filling out this form on behalf of someone under 18? *

Yes

A parent or guardian will be present at the workshop *

Yes

I am filing from: *

Santa Cruz County

Monterey County

Santa Clara County

Other:

Do you need any accommodations for this workshop? *

Captioning for Slideshow

Digital forms

advanced copies of slides

Other:

I am changing my *

Name and Gender Marker

Name Only

Gender Marker Only

Will both of your parents/guardians be available to sign the forms? *

Yes, both parents or guardians will sign

Yes, I only have 1 parent/guardian but they will sign

No, only one of my parents or guardians will be signing

I am a youth in foster care

What category best fits the youths passport situation? *

ANY of the following are true: You've never had a passport, you are under 16, you were under 16 when your last passport was issued, your last passport was issued more than 15 years ago, your last passport was lost or stolen, your name has changed but you are unable to document said change

ALL the following are true: your last passport is undamaged and can be returned, it was issued when you were 16 or older, it was issued in the last 15 years, it was issued with your current name or you can document a name change

EITHER of these criteria fit: your last passport was issued less than a year ago or to extend the validity of a lmited valididity passport or upgrade it to full validity passport

I do not have a passport and will not be getting one soon

Unsure

Are you/the youth an immigrant (your immigration status will remain confidential, If you are an immigrant we need to give you a different form depending on your status)
*

Yes, I have a green card

Yes, I am a naturalized citizen

Yes, I am a refugee

Yes, I have a work permit

Yes, I am covered under DACA

No, I was born in the United States

Prefer not to answer

Court orders are the first step for a name and/or gender change and they cost between $435-$450, if any of these apply to you, you may be eligible for a fee waver
*

I am on public assistance (SNAP, SSI, CalWORKS, HHSI, Unemployment, WIC, CAPI etc.)

I am low income (per month) ($2,430 for 1 person, $3,286 for two, $4,145 for 3 or $5,000 for a family of 4)

I do not make enough money to cover household expense AND court fees

None of these apply/I can pay for it myself

I/the youth was born in: *

California

A country other than the united states

Other:

Is there anything else you would like for me to know *

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