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Legal Name and/or Gender Change Form
Legal Documentation is required; this can be emailed to
mnewell@maplerun.org,
faxed to 802-527-6467, or dropped off to the Guidance Office during regular school hours.
Parent/Guardian signature is required and must have legal rights to make changes for you.
To make any future changes, you will need to submit a new request.
Please email the BFA Registrar with any questions about this form to
mnewell@maplerun.org
Please allow
24-48 hours for processing
, once form has been submitted. You will receive a confirmation when this is updated in PowerSchool.
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* Indicates required question
Email
*
Your email
Student Email
*
Your answer
School Counselor
*
Elaine Archambault
Stephanie Hodgeman
Stella Leach
Chris Pepin
Amy Turner
Required
Current Legal Name that is listed in PowerSchool
(First Name, Middle Name, Last Name)
*
Your answer
New Legal Name
(First Name, Middle Name, Last Name)
*
Your answer
New Legal Gender
*
Male
Female
Non-Binary
No Changes
Required
Student Signature
By signing below, you are requesting this information to be updated as possible.
*
Your answer
Parent Signature
By signing below, you are requesting for your student's legal information to be updated in our school records. I understand that any future changes will require further documentation.
*
Your answer
Today's Date
*
MM
/
DD
/
YYYY
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