503.07-E(1) - Report of Student Disclosure of Identity

Dear (Parent/Guardian) _________________,

 

This letter is to inform you that your student (student’s name listed on registration) ________________  has made a request of a licensed employee to (check all that apply):

______ make an accommodation that is intended to affirm the student’s gender identity as follows:  ___________________________________________________________________________________________________ ___________________________________________________________________________________________________

 

______ use a name, pronoun or gender identity that is different from the name, pronoun and/or gender  identity listed on the student’s school registration forms. The name, pronoun, or gender identity  requested is _________________________________________________________________________. 

 

If you would like to amend the student’s registration paperwork to permit the student’s requested  accommodation and/or include the use of the above-referenced name/pronoun/gender identity, please  complete the attached form and return it to the district administration office.

 

Sincerely,

 

____________________________________________                                       __________________
Administrator                                                                                                                                         Date

 

 

I.C. Iowa Code                          Description
Iowa Code § 279.78                  Parental Rights in Ed

Approved: 7/17/2023, 2/25/2026
Reviewed: 1/28/2026
Revised: 1/28/2026