Official Name change request

Official Name Change Request

To ensure the accuracy and privacy of your record, the Department of Student Registration requires a written authorization to make changes or corrections to the name and/or gender listed in your student account.
I AM STUDENT OF (Choose one): *

FHS FHS Thayer Campus Cameron Middle School Fuller Middle School Walsh Middle School
Student's date of birth *

Month Day Year
Date
DOCUMENTS PRESENTED: *

Court-Ordered Adoption Decree with name change New Government Issued Birth Certificate
Please download required documents

Browse Files

Cancel of
FROM: *

First Name Middle Name Last Name
TO: *

First Name Middle Name Last Name
GENDER: *

Male Female Nonbinary
Name of the person filling out this form *

First Name Last Name
Relationship to the student *
Email *
example@example.com
Signature: *

Clear
Today's date: *

Month Day Year
Date Hour Minutes AM/PM Option
FRAMINGHAM PUBLIC SCHOOLS
DEPARTMENT OF STUDENT REGISTRATION
19 Flagg Drive Door 1 – Framingham MA 01702
Phone: 508-424-3420 Fax: 508-879-1023

Office visit by appointment only
Should be Empty:

Official Name Change Request