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20112012 APPLICATION FORM Names of Child Gender Male Female Nickname Desired Start Date Birth Date Address Street City State Zip Parent(s)/Guardian(s) Home Phone Work Phone Cell Phone Email Child's
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The nickname desired start date is the date that the individual would like to start using a new nickname.
The individual who wishes to start using a new nickname is required to file the nickname desired start date.
To fill out the nickname desired start date, the individual must submit a request stating the desired nickname and the intended start date.
The purpose of the nickname desired start date is to officially document the individual's choice of a new nickname and the date they wish to start using it.
The nickname desired start date form must include the individual's current legal name, the desired nickname, and the proposed start date for using the nickname.
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