Registration deadline has passed
Custom RegistrationInvite only

Applicant Intake Form

av_timer
Deadline: Apr 20, 2024 12:00 am (GMT-05:00) Central Time (US & Canada)
date_range
Date: Apr 20, 2024 10:00 am - Apr 20, 2024 2:00 pm (CDT)
attach_money
Free

About the event

Show more >
Pride Frisco
Pride Frisco
Pride Frisco
Pride Frisco

About the registration

Show more >

Terms & Conditions

Show more >

Questions on the registration

User information

  • First name
  • Last name
  • Email

Additional information

  • Pick the situation that best describes you. Please read all options carefully before making a selection. (select one)
  • Do you have an address where you can receive mail?
  • Name
  • Pronouns
  • Pronouns (Other)
  • Phone Number
  • Email
  • Alternative Contact Information
  • Chosen First Name
  • Chosen Middle Name (if none, leave blank)
  • Chosen Last Name
  • Have you ever used any other names (i.e., a maiden last name or married last name) and/or is your name on your birth certificate different than you current legal name?
  • If yes, please provide any and all prior names below. Otherwise, type N/A.
  • Sex Assigned At Birth (i.e., sex listed on your birth certificate at or around the time of your birth)
  • Gender/Sex by Which You Identify
  • I would like assistance in legally updating which of the following (select one):
  • If updating gender, please select the gender/sex you would like listed on updated Identity Documents (Note: Texas Law requires selection of either Male of Female):
  • Current Legal First Name
  • Current Legal Middle Name (if none, write N/A)
  • Current Legal Last Name
  • Date of Birth (MM/DD/YYYY)
  • Place of Birth: City
  • Place of Birth: County (please include the word, "County")
  • Place of Birth: U.S. State or Territory
  • Place of Birth: State (Other)
  • Place of Birth: Country
  • Is your race listed on your birth certificate?
  • If yes, what is your listed race? (If not applicable, enter N/A.)
  • If "No" or "I don't know," please write the race you identify as (i.e., White, Black, Asian, American Indian/Alaskan Native, Hawaiian Native/Pacific Islander, Mixed). Hispanic is technically an ethnicity, not a race, so if you identify as Hispanic, select the race that you most closely identify with, as listed in the previous sentence. If not applicable, enter N/A.
  • Home Address: Street (Number and Street Name)
  • Home Address: City
  • Home Address: County (Please include the word "County")
  • Home Address: U.S. State or Territory
  • Home Address: State (Other)
  • Home Address: Zip Code
  • Is your mailing address different from your home address?
  • If "Yes," Mailing Address: Street (Number and Street Name)
  • If "Yes," Mailing Address: City
  • If "Yes," Mailing Address: U.S. State or Territory
  • If "Yes," Mailing Address: State (Other)
  • If "Yes," Mailing Address: Zip Code
  • You will need to attach a short letter to your petition from a doctor or therapist/mental health counselor you see. Select one of the following:
  • Upload a copy here (PDF, Word, PNG, JPG) and bring a printed copy with you to the clinic
  • Last 3 digits of Social Security Number
  • Driver's License or Identification Number or let us know you do not have this information
  • Which state issued your driver's license or identification number?
  • Which state issued your driver's license or identification number? (Other)
  • Have you had any other driver's license numbers or identification numbers in the last 10 years?
  • If "Yes," list each below (if not applicable, enter N/A)
  • Have you ever been, or believe you may have been, charged with an offense above the grade of a class C misdemeanor (traffic tickets; charges punished by fine only)?
  • Have you ever been, or believe you may have been, the subject of a final felony conviction?*
  • Are you required to register as a sex offender?
  • Please select your preferred time slot below
  • Anything you need to tell us? Accessibility needs, etc.?
  • By applying and signing this application electronically, I have read and agree to the Applicant Statement of Understanding. Type your Current Legal First and Current Legal Last Name
Applicant Intake Form
Applicant Intake Form
Name + Gender Marker Change Clinic (Dallas LGBT Bar Association in partnership with Pride Frisco)
Registration deadline has passed